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Clinic RN-Complete Endocrinology

Bryan Health Lincoln, NE

Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional nursing care as prescribed by the physician and in compliance with the Nebraska Nurse Practice Act, any applicable licensure/certification requirement and organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 3. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart. 4. *Makes accurate and timely observations and documents changes in the patient’s condition in the patient chart. 5. *Retrieves messages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer in a timely manner as delegated by licensed heath care provider (MD, PA, NP). 6. *Assists the medical provider with all examinations and procedures. 7. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 8. *Schedules follow-up procedures/appointments and specialty appointments. 9. *Explains tests and preparation as needed for adequate patient education. 10. Monitors inventory of supplies and communicates information to Office Manager. 11. *Administers injections, vital signs, vision and auditory testing as delegated. 12. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

BPN Medical Office LPN-Bryan Psychiatry

Bryan Health Lincoln, NE

Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional nursing care as prescribed by the physician and in compliance with the Nebraska Nurse Practice Act, any applicable licensure/certification requirement and organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 3. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 4. *Obtains vital signs, reason for visit, allergies and list of medications from the patient and prepares patient for the visit. 5. *Assists the medical provider with all examinations and procedures. 6. *Schedules outpatient follow-up procedures/ appointments and specialty appointments. 7. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart. 8. *Makes accurate and timely observations and documents changes in the patient’s condition in the patient chart. 9. *Retrieves messages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer in a timely manner as delegated by licensed heath care provider (MD, RN, PA, NP). 10. *Explains tests and preparation as needed for adequate patient education. 11. Monitors inventory of supplies and communicates information to Office Manager. 12. *Administers injections, vital signs, vision and auditory testing as delegated. 13. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current licensure as a Licensed Practical Nurse (LPN) in the State of Nebraska required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

GIRMC Staff RN-Med/Surg

Bryan Health Grand Island, NE

Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 17. Integrates evidence based research findings into practice in accordance with policy and procedure. 18. Engages in department specific and organizational performance improvement initiatives. 19. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 20. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 21. Participates in meetings, committees and department projects as assigned. 22. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional 6. Ability to maintain confidentiality of patient information. 7. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 8. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 9. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

Quality Outcomes Specialist RN

Bryan Health Lincoln, NE

Summary GENERAL SUMMARY: Leverages advanced nursing experience to lead the analysis of clinical quality performance programs and metrics, identifying actionable insights aligned with organizational goals. Facilitates ongoing compliance with regulatory, accreditation, and voluntary quality programs. Collaborates with leaders at all levels, providers, staff, and quality improvement teams to utilize nursing clinical expertise, data insights, and evidence-based practice to improve care processes and achieve patient-centered outcomes. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Provides expertise in quality performance programs from CMS, commercial payers, accreditation organizations, and related entities. 3. *Facilitates accurate and timely clinical quality data submissions to external entities in collaboration with IT and Data Analytics. 4. *Conducts clinical medical record reviews, utilizing nursing expertise, for quality measure abstraction, coded adverse event review, and clinical documentation improvement opportunities. 5. *Retrieves, assembles, and analyzes quality data using available benchmarks, nursing clinical knowledge, basic statistics, and evidence-based references to identify trends and actionable insights. 6. *Develops and maintains effective data visualizations and reports according to governance standards, in collaboration with Data Analytics. 7. *Develops and leads presentations on quality programs and performance insights. 8. *Serves as a liaison with regulatory, accreditation, and related entities, maintaining professional relationships, communication, and effective data submission for all requirements. 9. *Facilitates regulatory and accreditation surveys; hosts surveyors (often nurses), coordinates the survey process, and collaborates with internal stakeholders to develop effective follow-up plans. 10. *Coordinates the internal regulatory/accreditation tracer and process audit program, specializing in acute care nursing; utilizing clinical expertise and an interdisciplinary team, to ensure survey-readiness. 11. *Monitors changes in regulatory and accreditation requirements, communicating and coordinating to ensure sustained compliance. 12. *Consults to align effective measures and contribute to teams and projects, improving clinical workflows, clinical documentation, regulatory compliance, and patient-centered outcomes. 13. Supports the development and maintenance of organizational policies, procedures, and related documents, aligned with accreditation and regulatory requirements, along with evidence-based practice. 14. Supports the development, implementation, and ongoing assessment of the Quality and Safety Plan, and Corporate Compliance Plan. 15. Provides coaching and education to cross-functional nursing and clinical quality roles to support their development and standardization of workflows. 16. Maintains professional growth and development in healthcare quality through courses, webinars, publications, coaching/mentoring, or professional affiliations. 17. Participates in meetings, committees/quality teams, and projects as assigned. 18. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”). REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Knowledge of anatomy, physiology, disease processes, and medical/pharmacological terminology. 2. Knowledge of hospital systems, medical records, coding principles, and reimbursement requirements. 3. Knowledge of regulatory, accreditation, and quality program standards. 4. Knowledge of operational excellence, standard metrics, and healthcare performance processes. 5. Knowledge of data governance, lifecycle management, and healthcare-related equipment, software, and tools. 6. Skill in quantitative and qualitative data collection, modeling, visualization, and analysis. 7. Skill in Microsoft 365 and job‑related software applications. 8. Skill in project management, change management, and facilitation of meetings, events, and shared decision‑making. 9. Skill in systematic, scientific improvement methods. 10. Skill in developing educational content, SOPs, reports, and data visualizations. 11. Ability to communicate effectively with diverse audiences and maintain strong working relationships. 12. Ability to prioritize multiple responsibilities and maintain confidentiality. 13. Ability to coach, mentor, and support colleagues. 14. Ability to adapt, learn, and perform effectively in rapidly changing environments. 15. Ability to interpret standards, validate measurement systems, and generate actionable insights from clinical and operational data. 16. Ability to manage interdisciplinary projects and complete accurate, timely submissions to external entities. 17. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Bachelor’s degree in Nursing, Health Information Management, Public Health, Healthcare Administration, or related field required. Current Registered Nurse license from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Minimum of five (5) years of progressive clinical experience in an acute care or comparable healthcare setting required. Clinical experience must include involvement in quality, patient safety, performance improvement, or regulatory activities. OTHER CREDENTIALS / CERTIFICATIONS: Certification relevant to quality, safety, accreditation, or performance improvement preferred. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) – Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Involves sitting most of the time, but may involve walking or standing for brief periods of time.

Staff RN-Float

Bryan Health Kearney, NE

Summary Responsible for all aspects of direct patient care while maintaining high performance level in quality, service, critical nursing skills and critical thinking. Provides leadership by delegating and working cooperatively and collaboratively with ancillary nursing and other patient team personnel in maintaining standards for professional nursing practice and professional nursing performance in the clinical setting. 1. *Commits to the KRMC mission, vision, values and goals and consistently demonstrates our core values. 2. *Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. 3. *Follows the five (5) medication rights and reduces the potential for medication errors. 4. *Monitors the hemodynamic status of patient and correctly interpret the results. 5. *Performs a head-to-toe assessment on all patients and reassessments as per policy. This includes pediatric, geriatric and the general patient population. 6. *Adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. 7. *Formulates an individualized plan of care, revises plan as indicated quickly and accurately by the patient’s response to treatment and evaluates overall plan daily for effectiveness. 8. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate. 9. Identifies the need to involve other disciplines in the patients care. 10. Abilit to perform at maximum efficiency without compromising quality care. 11. Participates in guidance and educational programs. 12. Maintains an awareness of legal aspects of nursing, including accurate and timely documentation according to standards. 13. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. 14. Assists physicians with procedures as appropriate. 15. Monitors coworkers and voices concerns in a constructive manner to minimize errors. 16. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as a liaison between administration, patients, physicians, and other healthcare providers. 17. Maintains a good working relationship with all departments. 18. Meets current standards and policies for documentation. 19. Participates in performance improvement activities and/or committees. 20. Assists in orientation and/or acts as a preceptor for new personnel. 21. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Graduate of an accredited school of nursing required. BSN or current enrollment in BSN program preferred. Minimum of two (2) years of recent experience in a clinical care, acute care setting preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) certification required within six (6) months of hire. Pediatric Advanced Life Support (PALS) certification required within six (6) months of hire. National Institutes of Health (NIH) Stroke Scale certification required within 6 months of hire

Mixed Acuity CNA

Bryan Health Kearney, NE

Summary Provides direct and indirect patient care under the direction of a RN or physician. Assists patients with activities of daily living, provides for personal care, emotional support and performs more complex clinical skills under the direction of a RN. Provide secretarial functions as needed for unit to function. Performs patient care responsibilities considering needs specific to the standard of care for patient's age. Provides care appropriate to condition and age of patient, including pediatric, geriatric and the general patient population. Provides patient care that meets the psychosocial and physical needs of the patient within the CNA's scope of practice. Assists with patient admissions, discharge and transfers. Provides morning/evening care which may include bed bath, shower, whirlpool, oral hygiene, combing hair, back care, dressing patients, changing bed linen, cleaning overbed table and bedside stand, straightening room and other general care as necessary throughout the shift. Provides general nursing care such as positioning patients, lifting and turning patients, applying/utilizing special equipment, assisting in use of bedpan, commode and ambulating patients. Prepares patients for meals; serves and removes food trays and assists with meals or feeds patients if necessary. Assists patient up to chair for meals if able. Distributes drinking water and snacks to patients as applicable. Answers patients' call lights, anticipates patients' needs and makes rounds of assigned patients. Transports patients to various departments for ordered tests/procedures. Demonstrates the ability to perform procedures within the CNA II's scope of practice per state law. Takes and records temperature, pulse, respiration, weight, blood pressure and intake-output. Reports patient complaint of pain to supervising RN. Observes patient's mental and physical conditions, reports any changes to supervising RN. Able to answer, transfer and triage phone calls when unit secretary Able to effectively fax, scan and file patient information appropriately Skilled on computer and updating status board and discharge information as patient changes occur Knowledgeable of sterile techniques and infection control procedures. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Regulatory Requirements: Currently enrolled in High School at a grade level of Junior or higher. Current CNA certification in the state of Nebraska or proof of passing CNA Exam until verification is provided by the state of Nebraska. Current BLS certificate. One year of experience as a CNA preferred.

GIRMC Staff LPN

Bryan Health Grand Island, NE

Summary GENERAL SUMMARY: At the direction of the Registered Nurse (RN) and/or Licensed Practitioners, the Staff Licensed Practical Nurse (LPN) contributes to meeting patient's priority needs by assessing and participating in interdisciplinary care planning, providing delegated care and timely communication of the patient's response. Contributes to an efficient and effective work environment through activities including professional communication and documentation. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Contributes to the assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. 3. *Communicates pertinent initial and ongoing patient data to the RN for identification of nursing priorities of care and desired outcomes/goals. 4. *Utilizes appropriate standards of care based on the patient's diagnosis and age-specific needs. 5. *Executes therapeutic and/or supportive interventions under the direction of the RN. 6. *As directed by the RN, provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Participates in the evaluation of the patient's response to and effectiveness of interventions. 8. *Incorporates cultural considerations into the plan/delivery of care as directed by the RN. 9. *Includes family or significant others in the care of the patient as appropriate. 10. *Documents patient care and related information according to Grand Island Regional Medical Center procedures for documentation. 11. *Enters patient care orders into the computer accurately and consistently according to policy and procedure. 12. *Provides care in conjunction with other members of the interdisciplinary team. 13. *Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury. 14. *Contributes to the patient's transition to the next level of care. 15. *Assumes responsibility in a shared or delegated assignment and supports team member's practices through timely communication. 16. *Serves as a role model to colleagues, students and other care providers. 17. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 18. Participates in meetings, committees and department projects as assigned. 19. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to perform crucial conversations with desired outcomes. 6. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 7. Ability to work in a fast-paced environment related to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 8. Ability to problem solve and engage independent critical thinking skills. 9. Ability to maintain confidentiality relevant to sensitive information. 10. Ability to prioritize work demands and work with minimal supervision. 11. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Graduation from a School of Practical Nursing with current licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

RN-ICU

Bryan Health Kearney, NE

Summary Provides direct and indirect patient care in the critical care setting. Communicates with physicians about changes in patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Additionally, is able to perform general nursing duties in all departments with adequate supervision. Participates in performance improvement and CQI activities. Education/Experience: Graduate of an accredited school of nursing. BSN or current enrollment in BSN program preferred. Current Nebraska Registered Nurse Licensure. Two (2) or more years of recent critical care experience is preferred. Current BLS certification required. ACLS certification within 6 months. NIHSS Certification within 6 months. PALS certification within six months of hire.

GIRMC Staff RN-Lead

Bryan Health Grand Island, NE

Summary GENERAL SUMMARY: Manages resources and delegates as appropriate to optimize achievement of unit scope and department objectives. Assists in the operations management of the unit. Promotes retention of staff through recognition and promotion of teamwork within and across shifts. Supports and encourages the professional development of department staff. Ensures optimal patient care standards through daily interaction and role modeling. Supports and facilitates a collaborative relationship between medical staff and hospital staff to ensure that patient needs are met related to equipment, supplies and competent staff available to deliver personalized care. Provides direct patient care in department. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Takes on a leadership role in modeling the mission, beliefs, and behaviors of the Medical Center; promotes and models highly effective interpersonal relationships. 3. *Assists in concurrent and retrospective resolution of patient, family, and/or physician concerns and complaints. 4. Utilizes the findings from quality improvement efforts (including HCAHPS/NRC and physician partnership survey scores) to enhance patient care, customer satisfaction (physicians and patients/families) and cost-effectiveness of services. 5. Assists with unit scheduling, timecard approval, and provides input into staff evaluations and interview processes. 6. Demonstrates fiscal responsibility by downsizing or upsizing staffing in a budget conscious manner that ensures the maintenance of safe patient care. 7. Works collaboratively with the Nurse Manager to ensure appropriate equipment function, equipment availability and efficient supply usage and charging; maintains a supply and equipment inventory that meets patient care needs. 8. *Ensures staff competence while emphasizing staff retention strategies. 9. *Ensures that existing policies and procedures are adhered to during daily interactions with staff; facilitates patient admissions, discharges and transfers within service line. 10. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 11. *Documents patient care and related information according to Bryan Medical – GIRMC procedures for documentation. 12. Acts as a champion in EPIC specific to their department. May be asked to help other organizational departments in their use of Epic. 13. *Responsible for promoting patient and staff safety, providing accurate and clear communication, delegating, and serving as a resource and role model to colleagues, students and other care providers. 14. *Clearly defines, delegates and ensures completion of assignments to be accomplished throughout the shift; provides feedback in a timely manner to staff. 15. *Supports the Nurse Manager in communicating and implementing unit or area changes and keeps them informed of daily operational needs and issues. 16. *Supports the preceptor program, new employee orientation, and student programs; communicates education and/or competency needs of staff to the Nurse Manager. 17. * Coaches and mediates staff behavior as needed and communicates with the Nurse Manager if a colleague fails to respond to proper guidance or adhere to standards expected for quality care. 18. *Takes patient care assignments or charge role during volume or acuity changes or during increased staffing demand. This may encompass up to 65% of normal weekly hours. 19. *Assists the Nurse Manager with capital budget planning, equipment requests, and value analysis initiatives. 20. *Assists with record and billing audits to ensure accurate charges and coordinates appropriate vendor support. 21. Evaluates clinical outcomes prior to discharge from current level of care to next level of care; reports and acts on any untoward outcomes observed. 22. *Assists in detecting clinical outdates on equipment, drugs and supplies; acts to correct any deficiencies found. 23. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 24. Participates in meetings, committees and department projects as assigned. 25. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of computer hardware equipment and software applications relevant to work functions. 3. Ability to communicate effectively both verbally and in writing. 4. Ability to perform crucial conversations with desired outcomes. 5. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 6. Ability to problem solve and engage independent critical thinking skills. 7. Ability to maintain confidentiality relevant to sensitive information. 8. Ability to prioritize work demands and work with minimal supervision. 9. Ability to manage change and work within an intense work environment. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Bachelor of Science degree in Nursing and certification in specialty preferred. Minimum of two (2) years of clinical experience in a department or unit equivalent required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (BLS) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

GIRMC Staff RN-Float

Bryan Health Grand Island, NE

Summary GENERAL SUMMARY: Responsible for meeting patient’s priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care based on patient needs and evaluating patients’ responses. Contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. Supervises support staff in the delivery of patient care as described in Nebraska Statute. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Grand Island Regional Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates the patient’s plan of care based on the diagnosis and age-specific needs. 5. *Executes therapeutic and/or supportive interventions, consistent with perioperative procedures as ordered. 6. *Provides education for the patient and family to meet identified patient needs. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Documents patient care and related information according to Grand Island Regional Medical Center procedures for documentation. 11. *Coordinates and provides care in conjunction with other members of the interdisciplinary team. 12. *Facilitates patient’s transition to the next level of care. 13. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 14. Serves as a role model to colleagues, students and other care providers. 15. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 16. Participates in meetings, committees and department projects as assigned. 17. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional. 5. Ability to communicate effectively both verbally and in writing. 6. Ability to perform crucial conversations with desired outcomes. 7. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 8. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 9. Ability to practice proper body mechanics to ensure personal and customer/patient safety. 10. Ability to problem solve and engage independent critical thinking skills. 11. Ability to maintain confidentiality relevant to sensitive information. 12. Ability to prioritize work demands and work with minimal supervision. 13. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) required within first 6 months of employment. PALS as per manager's descretion.

Staff RN-Med/Surg-Surgical Vascular/PCU

Bryan Health Lincoln, NE

Summary The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with BryanLGH Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to BryanLGH Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) is required.

ICU CNA-Days

Bryan Health Kearney, NE

Summary Provides direct and indirect patient care under the direction of a RN or physician. Assists patients with activities of daily living, provides for personal care, emotional support and performs more complex clinical skills under the direction of a RN. Provide secretarial functions as needed for unit to function. Performs patient care responsibilities considering needs specific to the standard of care for patient's age. Provides care appropriate to condition and age of patient, including pediatric, geriatric and the general patient population. Provides patient care that meets the psychosocial and physical needs of the patient within the CNA's scope of practice. Assists with patient admissions, discharge and transfers. Provides morning care which may include bed bath, shower, whirlpool, oral hygiene, combing hair, back care, dressing patients, changing bed linen, cleaning overbed table and bedside stand, straightening room and other general care as necessary throughout the shift. Provides evening care which includes hands/face washing as needed, oral hygiene, back rubs, peri-care, freshening linen, cleaning overbed tables, straightening room and other general care as needed. Provides general nursing care such as positioning patients, lifting and turning patients, applying/utilizing special equipment, assisting in use of bedpan, commode and ambulating patients. Prepares patients for meals; serves and removes food trays and assists with meals or feeds patients if necessary. Distributes drinking water and snacks to patients as applicable. Answers patients' call lights, anticipates patients' needs and makes rounds of assigned patients. Transports patients to various departments for ordered tests/procedures. Demonstrates the ability to perform procedures within the CNA II's scope of practice per state law. Takes and records temperature, pulse, respiration, weight, blood pressure and intake-output. Reports patient complaint of pain to supervising RN. Observes patient's mental and physical conditions, reports any changes to supervising RN. Able to answer, transfer and triage phone calls when Unit secretary Able to effectively fax, scan and file patient information appropriately Skilled on computer and updating status board and discharge information as patient changes occur Knowledgeable of sterile techniques and infection control procedures. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Participates in patient care conferences. Communicates in a clear and concise manner to RNs and medical staff. Maintains a good working relationship within the department and with other departments. Documentation meets current standards and policies. Attends 75% of inservice education programs, as assigned, to learn new treatments, procedures, developmental skills etc. Treat patient and families with respect and dignity. Demonstrates the ability to be flexible, organized and function under stressful situations. Manages and operates equipment safely and correctly. Regulatory Requirements: High School graduate or equivalent. Current CNA certification in the state of Nebraska. Current BLS certificate.

Trauma Nurse Coordinator

Bryan Health Kearney, NE

Summary The Trauma Nurse Coordinator will collect, code, score, and develop processes for validation of data. He/she will also use the registry information to facilitate performance improvement, trend reports, and research while maintaining confidentiality. The Trauma Nurse Coordinator will also participate in performance improvement by monitoring clinical outcomes, monitoring systems issues related to quality of care delivery, developing quality filters, audits, and case reviews as well as identifying trends. The Trauma Nurse Coordinator will maintain operational, personnel, and financial aspects of the trauma program as appropriate. He/she will also represent the trauma program on hospital committees to foster and enhance optimal trauma care, provision and management. The Trauma Nurse Coordinator will act as a stabilizer in the complex network of people and disciplines who work together to provide quality trauma care. He/she will serve as an internal resource for staff in all departments as well as an extended liaison for Emergency Medical Services in the service area. In addition to the specific duties related to the Trauma Program, the Trauma Nurse Coordinator will be assigned rotating weekend and holidays as an ER Staff RN. Education/Experience: Graduate from an accredited school of nursing. Current Registered Nurse Licensure in the state of Nebraska. A minimum of two (2) years nursing experience in an education role in an acute care setting. Current BCLS, ACLS, PALS, TNCC and certification.

ICU CNA

Bryan Health Kearney, NE

Summary Provides direct and indirect patient care under the direction of a RN or physician. Assists patients with activities of daily living, provides for personal care, emotional support and performs more complex clinical skills under the direction of a RN. Provide secretarial functions as needed for unit to function. Performs patient care responsibilities considering needs specific to the standard of care for patient's age. Provides care appropriate to condition and age of patient, including pediatric, geriatric and the general patient population. Provides patient care that meets the psychosocial and physical needs of the patient within the CNA's scope of practice. Assists with patient admissions, discharge and transfers. Provides morning care which may include bed bath, shower, whirlpool, oral hygiene, combing hair, back care, dressing patients, changing bed linen, cleaning overbed table and bedside stand, straightening room and other general care as necessary throughout the shift. Provides evening care which includes hands/face washing as needed, oral hygiene, back rubs, peri-care, freshening linen, cleaning overbed tables, straightening room and other general care as needed. Provides general nursing care such as positioning patients, lifting and turning patients, applying/utilizing special equipment, assisting in use of bedpan, commode and ambulating patients. Prepares patients for meals; serves and removes food trays and assists with meals or feeds patients if necessary. Distributes drinking water and snacks to patients as applicable. Answers patients' call lights, anticipates patients' needs and makes rounds of assigned patients. Transports patients to various departments for ordered tests/procedures. Demonstrates the ability to perform procedures within the CNA II's scope of practice per state law. Takes and records temperature, pulse, respiration, weight, blood pressure and intake-output. Reports patient complaint of pain to supervising RN. Observes patient's mental and physical conditions, reports any changes to supervising RN. Able to answer, transfer and triage phone calls when Unit secretary Able to effectively fax, scan and file patient information appropriately Skilled on computer and updating status board and discharge information as patient changes occur Knowledgeable of sterile techniques and infection control procedures. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Participates in patient care conferences. Communicates in a clear and concise manner to RNs and medical staff. Maintains a good working relationship within the department and with other departments. Documentation meets current standards and policies. Attends 75% of inservice education programs, as assigned, to learn new treatments, procedures, developmental skills etc. Treat patient and families with respect and dignity. Demonstrates the ability to be flexible, organized and function under stressful situations. Manages and operates equipment safely and correctly. Regulatory Requirements: High School graduate or equivalent. Current CNA certification in the state of Nebraska. Current BLS certificate.

Certified Nursing Assistant

Bryan Health Kearney, NE

Summary Provides direct and indirect patient care under the direction of a RN or physician. Assists patients with activities of daily living, provides for personal care, emotional support and performs more complex clinical skills under the direction of a RN. Provide secretarial functions as needed for unit to function. Performs patient care responsibilities considering needs specific to the standard of care for patient's age. Provides care appropriate to condition and age of patient, including pediatric, geriatric and the general patient population. Provides patient care that meets the psychosocial and physical needs of the patient within the CNA's scope of practice. Assists with patient admissions, discharge and transfers. Provides morning/evening care which may include bed bath, shower, whirlpool, oral hygiene, combing hair, back care, dressing patients, changing bed linen, cleaning overbed table and bedside stand, straightening room and other general care as necessary throughout the shift. Provides general nursing care such as positioning patients, lifting and turning patients, applying/utilizing special equipment, assisting in use of bedpan, commode and ambulating patients. Prepares patients for meals; serves and removes food trays and assists with meals or feeds patients if necessary. Assists patient up to chair for meals if able. Distributes drinking water and snacks to patients as applicable. Answers patients' call lights, anticipates patients' needs and makes rounds of assigned patients. Transports patients to various departments for ordered tests/procedures. Demonstrates the ability to perform procedures within the CNA II's scope of practice per state law. Takes and records temperature, pulse, respiration, weight, blood pressure and intake-output. Reports patient complaint of pain to supervising RN. Observes patient's mental and physical conditions, reports any changes to supervising RN. Able to answer, transfer and triage phone calls when unit secretary Able to effectively fax, scan and file patient information appropriately Skilled on computer and updating status board and discharge information as patient changes occur Knowledgeable of sterile techniques and infection control procedures. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Regulatory Requirements: Currently enrolled in High School at a grade level of Junior or higher. Current CNA certification in the state of Nebraska or proof of passing CNA Exam until verification is provided by the state of Nebraska. Current BLS certificate. One year of experience as a CNA preferred.

GIRMC Staff RN Med-Surg-Lead

Bryan Health Grand Island, NE

Summary GENERAL SUMMARY: Manages resources and delegates as appropriate to optimize achievement of unit scope and department objectives. Assists in the operations management of the unit. Promotes retention of staff through recognition and promotion of teamwork within and across shifts. Supports and encourages the professional development of department staff. Ensures optimal patient care standards through daily interaction and role modeling. Supports and facilitates a collaborative relationship between medical staff and hospital staff to ensure that patient needs are met related to equipment, supplies and competent staff available to deliver personalized care. Provides direct patient care in department. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Models the organization’s mission, values, and behaviors while fostering teamwork, communication, and positive relationships. 3. *Supports resolution of patient, family, and physician concerns while promoting patient experience standards and care practices. 4. Utilizes the findings from quality improvement efforts (including HCAHPS/NRC and physician partnership survey scores) to enhance patient care, customer satisfaction (physicians and patients/families) and cost-effectiveness of services. 5. Supports staffing processes including scheduling, timecards, hiring input, and workforce planning. 6. Maintains fiscal responsibility through staffing adjustments and support of budget and capital planning. 7. Works collaboratively with the Nurse Manager to ensure appropriate equipment function, equipment availability and efficient supply usage and charging; maintains a supply and equipment inventory that meets patient care needs. 8. *Ensures staff competence while emphasizing staff retention strategies. 9. *Ensures that existing policies and procedures are adhered to during daily interactions with staff; facilitates patient admissions, discharges and transfers within service line. 10. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 11. *Documents patient care and related information according to Bryan Medical – GIRMC procedures for documentation. 12. Acts as a champion in EPIC specific to their department. May be asked to help other organizational departments in their use of Epic. 13. *Promotes safety, communication, and accountability through delegation and clear expectations. 14. *Supports the Nurse Manager in communicating and implementing unit or area changes and keeps them informed of daily operational needs and issues. 15. *Supports the preceptor program, new employee orientation, and student programs; communicates education and/or competency needs of staff to the Nurse Manager. 16. * Coaches and mediates staff behavior as needed and communicates with the Nurse Manager if a colleague fails to respond to proper guidance or adhere to standards expected for quality care. 17. *Takes patient care assignments or charge role during volume or acuity changes or during increased staffing demand. This may encompass up to 65% of normal weekly hours. 18. *Assists with record and billing audits to ensure accurate charges and coordinates appropriate vendor support. 19. Evaluates clinical outcomes prior to discharge from current level of care to next level of care; reports and acts on any untoward outcomes observed. 20. *Assists in detecting clinical outdates on equipment, drugs and supplies; acts to correct any deficiencies found. 21. Participates in EPIC meetings for the ClinDoc, advises on changes needed for the department, and implements ClinDoc EPIC changes with the staff. 22. Super user for Smart Square, attends meetings for updates and implements the education with staff. 23. Assists in organizing educational opportunities for all staff. 24. Works occasional rotating shift per staffing needs per department workflows. 25. Meets at least once per 2-week period with orientee to review progress and identify barriers. 26. Participates in committees and supports Unit Based Council initiatives. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 27. Participates in meetings, committees and department projects as assigned. 28. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of computer hardware equipment and software applications relevant to work functions. 3. Ability to communicate effectively both verbally and in writing. 4. Ability to perform crucial conversations with desired outcomes. 5. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 6. Ability to problem solve and engage independent critical thinking skills. 7. Ability to maintain confidentiality relevant to sensitive information. 8. Ability to prioritize work demands and work with minimal supervision. 9. Ability to manage change and work within an intense work environment. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Bachelor of Science degree in Nursing and certification in specialty preferred. Minimum of two (2) years of clinical experience in a department or unit equivalent required. Minimum of three (3) years of Med/Surg or similar (Skilled, LTACH, IRU) experience required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (BLS) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiovascular Life Support (ACLS) required within six (6) months of hire. Credentialed Trainer for EPIC within one (1) year of hire.

Staff RN-Mental Health Float Pool

Bryan Health Lincoln, NE

Summary SUMMARY The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required.

Utilization Review

Utilization Management RN Lead

Bryan Health Lincoln, NE

Summary GENERAL SUMMARY: Conducts day-to-day activities for the clinical, financial and utilization coordination of the patient’s hospital experience. Proactively consults with the interdisciplinary team which includes, but is not limited to, hospital patient care staff, physicians, patient support, and family to ensure the patient’s hospital stay meets medical necessity and insurance authorizations are obtained to facilitate the financial well-being of the patient and hospital. Acts as the contact for the Utilization Management (UM) staff for day-to-day questions and guidance. Shares meeting responsibilities with the manager representing UM in meetings inside and outside the department. Serves as the Subject Matter Expert (SME) for the whole department both inside and outside the department. Assists with scheduling, assigning workflow, and various employee instructions both educational and corrective. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Acts as manager when manager is unavailable. 3. *Serves as the subject matter expert for the Utilization Management department for utilization review activities, including concurrent and retrospective reviews as required. 4. *In conjunction with the manager, assists in streamlining operations and maximization of UM tools. 5. *In conjunction with the manager, attends Operational and Revenue Cycle meetings as needed representing the Utilization Management department, and attends the UM Committee meeting. 6. *Acts as the day-to-day contact for the Utilization Department staff to approve last-minute requests for time off, assists with assignments, schedules, and helps manager with employee situations. 7. *Performs duties as a Utilization Management RN by determining the medical necessity of requests by performing first level reviews and using approved evidence-based guidelines/criteria. 8. Takes UM-RN staff shifts as needed by performing utilization review activities, including concurrent and retrospective reviews as required. 9. *Collaborates with the patient’s provider and other healthcare team members in managing the patient’s length of stay and determining the continuing medical necessity of continued stays. 10. *Refers cases to reviewing physician when the treatment request does not meet criteria per appropriate algorithm. 11. *Participates in concurrent and retrospective denials and appeals process by researching issues surrounding the denial, participating in all levels of the appeal and process follow-up. 12. *Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid rules, regulations, and policies; third party and managed care contracts; discharge planning; and length of stay. 13. Ensures appropriate resource utilization relevant to the financial, regulatory, and clinical aspects of care; proposes alternative treatment to ensure a cost effective and efficient plan of care. 14. *Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. 15. *Promotes quality improvement initiatives and health care outcomes based on currently accepted clinical practice guidelines and total quality improvement initiatives. 16. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 17. Participates in meetings, committees and department projects as assigned. 18. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*.” Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly distinct roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of governmental and third-party payer regulations and requirements related to patient hospitalization and acute rehabilitation admission, stay and discharge activities (i.e. CMS). 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Skills in conflict diffusion and resolution. 5. Ability to communicate effectively both verbally and in writing. 6. Ability to perform crucial conversations with desired outcomes. 7. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 8. Ability to problem solve and engage independent critical thinking skills. 9. Ability to maintain confidentiality relevant to sensitive information. 10. Ability to prioritize work demands and work with minimal supervision. 11. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Minimum of Five (5) years utilization management experience required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) – Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.

Utilization Review

Utilization Management RN- Denials

Bryan Health Lincoln, NE

Summary GENERAL SUMMARY: Conducts day-to-day activities for the clinical, financial and utilization coordination of the patient’s hospital experience. Proactively consults with the interdisciplinary team which includes, but is not limited to, hospital patient care staff, physicians, patient support and family to ensure the patient’s hospital stay meets medical necessity and insurance authorizations are obtained in order to facilitate the patient’s and hospitals financial well-being. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs utilization review activities, including concurrent and retrospective reviews as required. 3. *Determines the medical necessity of request by performing first level reviews, using approved evidence based guidelines/criteria. 4. *Collaborates with the patient’s provider and other healthcare team members in managing the patient’s length of stay and determining the continuing medical necessity of continued stays. 5. *Refers cases to reviewing physician when the treatment request does not meet criteria per appropriate algorithm. 6. *Participates in concurrent and retrospective denials and appeals process by researching issues surrounding the denial, participating in all levels of the appeal and process follow-up. 7. *Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid rules, regulations, and policies; 3rd party and managed care contracts; discharge planning; and length of stay. 8. Ensures appropriate resource utilization relevant to the financial, regulatory and clinical aspects of care; proposes alternative treatment to ensure a cost effective and efficient plan of care. 9. *Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. 10. *Promotes quality improvement initiatives and health care outcomes based on currently accepted clinical practice guidelines and total quality improvement initiatives. 11. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 12. Participates in meetings, committees and department projects as assigned. 13. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of governmental and third party payer regulations and requirements related to patient hospitalization and acute rehabilitation admission, stay and discharge activities, i.e., CMS, CARF, FIM (TM). 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Skill in conflict diffusion and resolution. 5. Ability to communicate effectively both verbally and in writing. 6. Ability to perform crucial conversations with desired outcomes. 7. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 8. Ability to problem solve and engage independent critical thinking skills. 9. Ability to maintain confidentiality relevant to sensitive information. 10. Ability to prioritize work demands and work with minimal supervision. 11. Ability to maintain regular and punctual attendance. ADDITIONAL JOB FUNCTIONS: In addition to the principal job functions contained on the primary job descriptions, the following duties are also required in the department noted above. 1. Responsible for performing clinical review and analysis in support of the denials team in managing patient medical denials through the request of documentation and assistance in preparing cases for presentation and evaluation. Collaborates with utilization management, case management, revenue cycle, and the physician advisor. Partners with the physician advisor to develop and defend clinical positions on denied cases 2. Reviews all denial accounts for categorization, level of appeal, and special requirements for initiating appeals evaluating medical necessity and level of care. 3. Reviews and compiles required denial documentation and submits in a timely manner to ensure compliance with required timelines. 4. Supports the appeal process by ensuring that proper documentation is provided to support appeals of unauthorized inpatient days or days denied for lack of documentation. 5. Manages new denials. Reviews hospital records for medical necessity and routes to the appropriate teams or personnel. Identifies gaps in clinical documentation and initiates appropriate clinical or operational interventions. Screens new denials and assigns preliminary denial reasons. Analyzes denial trends and determines root causes from a clinical perspective, validating or challenging payer denial rationale 6. Tracks and documents tasks to assist in preparing and following up on pending cases. Maintains documentation of clinical determinations and appeal activities, ensuring accuracy and compliance with regulatory and payer requirements. 7. Tracks and monitors concurrent and retrospective cases within electronic records. 8. Assists in auditing for administrative and medical necessity denials and identify opportunities for improvement in clinical documentation and utilization practices. Enters and schedules Peer to Peer reviews when necessary. 9. Assists with paperwork and follow-up of self-denied cases, and Condition Code W2s. 10. Assists in gathering data for performance of retrospective denials. Analyzes clinical denial data to identify trends, patterns, and opportunities for process improvement, and provides recommendations to clinical and operational leadership. EDUCATION AND EXPERIENCE: Two (2) years of utilization management experience with strong knowledge of the denials process and payor behaviors is preferred. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Two (2) years recent clinical experience required. Prior care coordination and/or utilization management experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (BLS) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) – Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.

RN-General Care Unit

Bryan Health Kearney, NE

Summary Provides direct and indirect patient care in the Medical/Surgical setting. Communicates with physicians, leadership, and co-workers, as appropriate, about changes in patient’s clinical condition including results of diagnostic studies and symptomatology. Responds quickly and accurately to changes in condition or response to treatment. Performs general nursing duties in all departments with adequate supervision. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Graduate of an accredited school of nursing required. BSN or current enrollment in BSN program preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. National Institutes of Health (NIH) Stroke Scale certification required within 6 months of hire. For those working in a charge role: Pediatric Advanced Life Support (PALS) certification required within 90 days of hire. For those working in a charge role: Advanced Cardiac Life Support (ACLS) certification required within 90 days of hire.

Licensed Practical Nurse- Bryan Heart Intervention Cardio Clinic

Bryan Health Lincoln, NE

Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various cardiac related health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional nursing care as prescribed by the physician and in compliance with the Nebraska Nurse Practice Act, any applicable licensure/certification requirement and organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs nursing and other patient care activities to ensure the physical and psychological well-being of the patient. 3. *Screens patients for appropriate information to ensure the Electronic Health Record (EHR) is current. 4. *Prepares patient for examination treatment through BH’s rooming process; taking patient history and vital signs, completes medication reconciliation and accurately documents in the EHR available to the consulting physicians. 5. *Registers and maintains timely, complete information in the patients' EHR and charts to ensure accurate patient care. Posts tests and examination results immediately. 6. *Upon direct assignment, supports provider(s) in a primary role, coordinating and facilitating patient care and follow up to achieve quality patient care and customer service goals. 7. *Ensures that exam rooms are clean and well stocked with necessary equipment and supplies. 8. *Prepares equipment and aides physician during examination of patients. 9. *Performs electrocardiograms. 10. *Dispenses medication as directed. Observes and records patient's condition and reaction to drugs and treatments, and reports same to provider. 11. *Educates patients and their families about diagnostic procedures, medications, post-treatment instructions, nutrition and maintenance of general health and wellness. 12. *Understands diagnosis allowed for ordering tests/procedures to ensure reimbursement. 13. Assists Bryan Heart with pre-authorizations, release of information requests, FMLA certification, etc. 14. Responds to/refers incoming patient treatment-related phone calls. 15. Maintains patient confidentiality. 16. Manages work hours, supplies, and other clinical costs in line with fiscal responsibility and budget. 17. Attends meetings and participates on committees as assigned. 18. May assist provider in both Lincoln and Outreach Clinic sites. 19. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 20. Participates in meetings, committees and department projects as assigned. 21. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current licensure as a Licensed Practical Nurse (LPN) in the State of Nebraska required. Minimum of one (1) year nursing experience required, clinic nursing preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. ilitary Training Network.

Staff RN-Mental Health Observation

Bryan Health Lincoln, NE

Summary SUMMARY The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required.

Clinic RN-Northpointe Family Medicine

Bryan Health Lincoln, NE

Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional nursing care as prescribed by the physician and in compliance with the Nebraska Nurse Practice Act, any applicable licensure/certification requirement and organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 3. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart. 4. *Makes accurate and timely observations and documents changes in the patient’s condition in the patient chart. 5. *Retrieves messages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer in a timely manner as delegated by licensed heath care provider (MD, PA, NP). 6. *Assists the medical provider with all examinations and procedures. 7. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 8. *Schedules follow-up procedures/appointments and specialty appointments. 9. *Explains tests and preparation as needed for adequate patient education. 10. Monitors inventory of supplies and communicates information to Office Manager. 11. *Administers injections, vital signs, vision and auditory testing as delegated. 12. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

Certified Nursing Assistant (PRN - Hours as Needed)

Bryan Health Central City, NE

Summary GENERAL SUMMARY: The Certified Nursing Assistant is responsible for providing general nursing care to patients, treatments to patients, and participates in discharge planning under the direct supervision of a Registered Nurse (RN). This position reports to Nurse Manager, Charge Nurse, or Staff RN. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. Participates in meetings, committees and lean projects as assigned. 3. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 4. Performs service excellence must-haves to achieve an excellent patient/customer experience. 5. Uses quality improvement processes, programs or outcome to help improve department operations. 6. *Performs Activities of Daily Living (ADLs) for assigned patient. 7. Serves patients meals/snacks/supplements; assists with and/or feeds meals/snacks/supplements; and records intake of meals/snacks/supplements as required by organization. 8. *Assists licensed nursing staff during treatment and examination of patient. 9. *Observes patients, records significant conditions and reactions, and notifies nursing staff of patient’s condition and reactions to drugs/treatments. 10. *Participates in patient discharge planning. 11. *Gives treatment/cares as directed by Registered Nurse. 12. Changes bed linens, runs errands, directs visitors, and answers telephone. 13. *Takes and records temperature, blood pressure, pulse and respiration rates, and food and fluid intake and output, under direction of a licensed nurse. 14. *Documents on assigned medical records and worksheets to include but not limited to ADL flow sheets, vital signs, baths, and meals. 15. Bathes patients when determined appropriate by the licensed nurse. 16. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. EDUCATION AND EXPERIENCE: High School diploma or equivalency required. Active Nebraska Certified Nursing Assistant (CNA) credential required. Must be active and with no disciplinary action on the Nebraska Nurse Aide Registry. One (1) year of hospital experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

Staff RN-PICC

Bryan Health Lincoln, NE

Summary GENERAL SUMMARY: The Vascular Access RN places midlines, PICC’s and peripheral IV’s with ultrasound guidance. A Vascular Access nurse is an integral part of the Bryan Health care team. This nurse works with a diverse population of patients: outpatient, inpatient, and ER patients. This nurse is supported by the Interventional Radiologists with difficult cases. Prior experience preferred but not required. Technical training for ultrasound will be provided during orientation. PRINCIPAL JOB FUNCTIONS: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Properly utilizes monitors, infusion pumps and ultrasound equipment during patient procedures; ensures facility safety policies and procedures are followed. *Evaluates the patient's response to and effectiveness of nursing interventions; identifies life-threatening arrhythmias and takes appropriate action. *Maintains a sterile field. *Reinforces instructions to family and patient of post-procedure precautions. *Keeps blood and body fluids in check in accordance to OSHA and Medical Center guidelines. *Incorporates cultural considerations into the plan/delivery of care. *Accesses and administers drugs and biologicals that are pertinent to essential job functions in accordance with Medical Center procedures. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) required.

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