RN ER Utilization Review Full-time
GBMC Healthcare

Utilization Review Nurse (Full-Time)

GBMC Healthcare Towson, MD
$68,281.18 - $110,274.20 / year
Under general supervision, provides consultative support to the admitting teams concerning patient status determinations and utilization of hospital resources facilitating quality, cost-effective patient outcomes for patients requiring hospital services. Works collaboratively with interdisciplinary staff internal and external to the organization facilitating appropriate status determinations through the utilization review process supporting quality, cost-effective patient outcomes. Responsible for analyzing clinical information and performing timely initial and concurrent reviews using InterQual screening software to identify appropriate medical necessity, length of stay, and level of care based upon evidence based clinical guidelines Education: Bachelor of Science in Nursing (BSN) OR Associate of Science in Nursing and currently enrolled in a BSN program with an expected graduation date within three (3) years. Licensure, Certifications: Current state of Maryland Registered Nurse license Bachelor of Science in Nursing (BSN) Certification in Utilization Management and/or Care Management highly desired. Experience: Five (5) years diversified, progressive experience in acute care and/or other settings within the continuum required. Two (2) years of Utilization Review and Case Management experience which includes utilization review processes and discharge planning, and working with Re-Admission Initiatives preferred. Skills: · Advanced knowledge of InterQual and/or MCG admission criteria · Knowledge of healthcare regulatory standards · Advanced skill in using computer software · Advanced skill in oral and written communication · Advanced skill in critical thinking · Ability to work independently and resolve complex problems · Ability to remain calm under pressure and intense time constraints · Ability to assess discharge needs for patients · Strong analytical and problem-solving skills · Strong interpersonal communication and influencing skills necessary to interact effectively with physicians, payers, regulatory agencies, staff, and other health professional · Strong organizational and time management skills · Ability to operate independently and balance multiple priorities · Proficiency in electronic medical record review Principal Duties and Responsibilities: Reviews available electronic medical records during the pre-admission process to determine appropriate patient status, optimizing correct patient classification and corresponding payer notifications. Reviews the appropriateness of admission and continued stay criteria for a defined group of patients Develops initial admission reviews for patients requiring hospital services and provides timely status recommendations to admitting providers a concurrent stay and/or discharge plan of care in accordance with departmental and payer clinical guidelines. Maintains a working knowledge of contractual and clinical criteria guidelines. Coordinates services with managed care companies and other third party payers. Discusses on-site reviewer issues with payer, either via the telephone or in person Assures timely utilization compliance with all payers who require authorizations and clinical submission. Demonstrates knowledge of reimbursement mechanisms. Considers patient’s financial resources for meeting healthcare needs (insurance reimbursement, managed care plans, entitlement programs, and personal resources). Participates as an active partner with physicians and interdisciplinary teams, providing education ancillary, and nursing staffregarding admission decisions including status determinations, financial and clinical outcomes, and documentation requirements and standards. Maintains current knowledge on all regulatory changes that affect care delivery or reimbursement of acute care services. Uses knowledge of national and local coverage determinations to appropriately advise physicians. Identifies system obstacles that affect patient outcomes and participates in interdisciplinary decisions and care of the patient. consults with interdisciplinary team members to address problems, and makes recommendations to problem solve. Assists with discharge planning, by preventing un-necessary hospital utilization, assist in the appropriate return of and placement of patients to post acute care, community based care and appropriate alternate levels of care. Demonstrates mastery in InterQual level of care guidelines. Possesses proficiency in utilization review systems, clinical support systems, and business support applications. Promotes use of evidence-based protocols to influence high quality and cost-effective care. Escalates clinically and financially complex cases to leadership, offering possible solutions through discussion and feedback. Engages regularly in formal and informal dialogue about quality; directly addressing concerns and promoting continuous improvement. Performs concurrent reviews and additional duties as assigned. All roles must demonstrate GBMC Values: Respect I will treat everyone with courtesy. I will foster a healing environment. Treats others with fairness, kindness, and respect for personal dignity and privacy Listens and responds appropriately to others’ needs, feelings, and capabilities Excellence I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others. Meets and/or exceeds customer expectations Actively pursues learning and self-development Pays attention to detail; follows through Accountability I will be professional in the way I act, look and speak. I will take ownership to solve problems. Sets a positive, professional example for others Takes ownership of problems and does what is needed to solve them Appropriately plans and utilizes required resources for various job duties Reports to work regularly and on time Teamwork I will be engaged and collaborative. I will keep people informed. Works cooperatively and collaboratively with others for the success of the team Addresses and resolves conflict in a positive way Seeks out the ideas of others to reach the best solutions Acknowledges and celebrates the contribution of others Ethical Behavior I will always act with honesty and integrity. I will protect the patient. Demonstrates honesty, integrity and good judgment Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers Results I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals. Embraces change and improvement in the work environment Continuously seeks to improve the quality of products/services Displays flexibility in dealing with new situations or obstacles Achieves results on time by focusing on priorities and manages time efficiently Pay Range $68,281.18 - $110,274.20 Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs. Equal Employment Opportunity GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
RN Home Health Full-time
New York State

Registered Nurse 2 (Community)

New York State Thiells, NY
$123,173 - $133,121 / year
Duties Description The Bureau of Nursing and Health Services (BNHS) in the Division of Statewide Services lends support to provider agencies across New York State. This position is in the Bureau of Nursing and Health Services in the Division of Statewide Services. The RN 2 will work under the supervision of the RN 3 Consultant Developmental Disabilities and will be responsible for: Identify and use statewide and provider specific reportable data to identify trends in quality nursing and health care and outcomes. Develop tracking systems using available data sources to prioritize the Bureau's areas/topics of support to voluntary providers. In collaboration with the Division of Quality Improvement (DQI), track and trend voluntary provider health-related critical and significant events (CSEs) to identify trends in substandard care/performance to inform the development of educational supports with the goal of preventing recurrence. Uses available data to identify specific gaps and needs in nursing and health care services, and develop programs to address identified clinical needs. Utilize identified trends in questions submitted by providers to determine, develop and present relevant educational topics for voluntary providers utilizing synchronous (i.e., live in-person, live virtual) and asynchronous (i.e., pre-recorded) methods of training. Develop a program for and provision of instructional and learning opportunities for voluntary agencies to meet a person’s care needs in the community following hospitalization and skilled nursing facility stay using in-person, virtual and pre-recorded methods of training. Participate in the development and implementation of preventive healthcare and incident prevention educational materials as needed across programs (e.g., residential, day habilitation) related to health issues and proactive care and protections for people with developmental disabilities. Review and evaluate the success of guidance and education provided to voluntary providers and update training materials accordingly. Interpret policy and regulatory guidance and understand the impact on standards of care on people served. Clearly articulate, verbally and in writing, regulations/policies to a diverse group of stakeholders including OPWDD leadership and voluntary provider agency leadership/staff. Meet with the OPWDD state operated and voluntary providers to identify issues and concerns related to the provision of nursing and health services, to plan solutions, to identify issues and to formalize working relationships. Review, analyze and respond to concerns presented by voluntary providers and offer support and education that foster positive communication, continued outreach, and improve confidence. Evaluate and assess people with medically complex needs and implement solutions to support continued community living. Participate in the Director of Nursing Community of Practice (CoP) and coordinate workgroups to address learning opportunities that will support the improvement of nursing and health care and regulatory compliance. Monitor and respond to questions received through the Bureau's mailbox. To respond to provider questions, the RN 2 will research and review applicable regulations, relevant OPWDD programmatic policies, and work collaboratively with OPWDD regional field office and OPWDD state operations staff. Research and develop needed health and safety trainings for providers. The content and audience will vary for each training and the RN 2 will be responsible for ensuring all trainings have clear learning objectives, are appropriately geared to each audience (e.g., direct support professionals, clinical staff), and that principles of plain language are implemented. Complete recording of trainings for Statewide Learning Management System (SLMS) and other identified learning management systems and complete all quality assurance activities so that all recorded trainings are accurate and easily understood. As needed partner with the Preadmission Screening and Resident Review (PASRR) RN 3 to complete on-site evaluations of people in nursing homes who may be suitable for community placement. Statewide travel as needed to support provider agencies. Other duties as assigned to support the division and goals of the agency. Travel percentage is an estimated average; actual travel time very to support the needs of the Bureau. Telecommuting Allowed?: To be discussed at interview LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all Minimum Qualifications Applicants must possess a license and current registration as a registered professional nurse in New York State; and two years of post-licensure clinical nursing experience. One year of this experience must have been providing direct services to individuals diagnosed with mental illness, developmental disabilities, addiction, or substance use disorders in a community setting. Substitution: A bachelor's degree in nursing may substitute for one year of general post-licensure clinical nursing experience; and a master's degree in nursing may substitute for two years of general post-licensure clinical nursing experience. Transfer: Candidates must have one year of permanent competitive or 55-b/c status in the posted title and be eligible for lateral transfer; OR be eligible to transfer via Section 70.1, 70.4, or 52.6 of Civil Service Law. The transfer cannot be a second consecutive transfer resulting in an advancement of more than two salary grades. To determine if your current Civil Service title is eligible for transfer to this title, visit the Career Mobility GOT-IT website: https://careermobilityoffice.cs.ny.gov/cmo/gotit/index.cfm. Preferred Qualifications: The ideal candidate will have experience working in an OPWDD certified setting and developing and delivering trainings to staff within that role or as a nurse educator in an OPWDD certified setting. Additional Comments This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). HELPS Program titles may be filled via a non-competitive appointment. This means that you do not need to take an exam to qualify, but you do need to meet the minimum qualifications of the title. At a future date (within one year of permanent appointment), employees hired under NY HELPS are expected to have their permanent non-competitive employment status converted to permanent competitive status. You will not have to take an exam to gain permanent competitive status. Posted Hiring Salary includes the sum of the statutory hiring rate for PS&T Grade 20 ($74,193), Increased Hiring Salary ($9,980), Geographic Pay Differential ($35,000), and Downstate adjustment ($4,000). Geographic Pay Differential and Downstate adjustment are added to the job rate ($94,121). If you are currently a New York State employee serving in a permanent competitive qualifying title and eligible for a transfer via Section 70.1 of the Civil Service Law, you may be appointed to this title as a permanent competitive employee. The assignment of PS&T employees will be made in accordance with any agreed upon Memorandum of Understanding between PEF and the local DDSO regarding the posting of job vacancies. Preference will be given to OPWDD employees impacted by closures. If you are being impacted by closure, please indicate this on your resume. All OPWDD employees must be eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility. If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments have been made under a qualifying repayment plan while working full-time for a qualifying employer. For more information on PSLF, please visit www.studentAid.gov/publicservice. Employees on long term leave can bid on positions but must be able to report to work within fourteen (14) days and be able to perform the essential functions of their positions with or without reasonable accommodation (RA). If an employee or job applicant believes that they need a reasonable accommodation, they should contact the Reasonable Accommodation Unit at (518) 486-7222 or email accommodationrequests@opwdd.ny.gov to obtain information and RA forms. Savings programs such as the U.S. Savings Bond and the College Savings Plan. Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care Advantage Account offer employees options to pay for uncovered health care expenses or dependent care expenses. Access to the Employee Assistance Program (EAP) an assessment and referral service that connects employees with local service providers and support services to address their personal needs. Life insurance and Disability insurance. The New York State Deferred Compensation Plan is a voluntary retirement plan that offers employees the option to invest a part of their salaries for retirement on a tax-deferred basis. Paid Holidays and Leave: ° Thirteen (13) paid holidays each year. ° Thirteen (13) days of paid vacation leave initially. ° Five (5) days paid personal leave each year. ° Thirteen (13) days of paid sick leave each year (PEF/CSEA), which may carry over from year to year. ° Up to three (3) days professional leave each year to participate in professional development events. Health Care Coverage: Employees and their eligible dependents can choose from a variety of affordable health insurance programs. Employees are provided family dental and vision plans at no extra cost. Paid Parental Leave: Paid Parental Leave allows eligible employees to take up to 12 weeks of paid leave at full pay for each qualifying event. A qualifying event is defined as the birth of a child or placement of a child for adoption or foster care. Retirement Program: Participate in The NYS Employees’ Retirement System (ERS), which is recognized as one of the best-managed and best-funded public retirement systems in the nation. Professional Development and Education and Training: NYS offers training programs and tuition assistance to eligible employees to maintain and increase their professional skills and prepare them for promotional opportunities. For more information, please visit https://oer.ny.gov/training-and-professional-development. Additionally, the Public Service Workshops Program (PSWP) offers certain professional training opportunities for PEF represented and M/C designated employees that may grant continuing education credits towards maintaining professional licensure. For more information, please visit https://oer.ny.gov/public-service-workshops-program-pswp. OPWDD is an Equal Opportunity/Affirmative Action employer dedicated to creating and sustaining a culture of inclusion. We believe that we are most effective in managing and improving our service system with a diverse team of employees. With such a large workforce, we rely on the collective individual differences, life experiences, knowledge, self-expression, ideas and talent that our employees bring to their work. This speaks to our culture and is a key part of our successes. As we continuously recruit people for our team, we welcome the unique contributions that applicants bring in terms of their education, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran’s status, color, religion, disability, sexual orientation and beliefs. ***All people with disabilities are encouraged to apply.***
NP Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Adult Congenital Heart Disease

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$93.75 - $114.84 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P144847-2798 Job Description Department Description The Advanced Practice Provider (APP) will play an integral role in the Adult Congenital Heart Disease (ACHD) Program, a collaborative partnership between Stanford Health Care and Stanford Medicine Children's Health dedicated to providing comprehensive, lifelong care for adults with congenital heart disease throughout Northern California. This full-time position offers a unique opportunity to develop expertise in a rapidly growing and nationally recognized ACHD program while caring for patients across the continuum of care in both inpatient and outpatient settings. The APP will participate in inpatient consultations, perioperative management, postoperative care, and care transitions, while also managing independent outpatient ACHD clinics focused on longitudinal follow-up, surveillance of congenital heart disease, disease progression, and cardiovascular risk reduction. Working alongside ACHD cardiologists, surgeons, and a multidisciplinary team, the APP will deliver evidence-based care, coordinate complex patient management, educate patients and families, and contribute to quality improvement and program growth”. The position is scheduled for four 10-hour shifts per week with shared on-call responsibilities as part of a seven-day coverage model. JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital (s). An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor’s degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master’s or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients. Additional board certification(s) may be required by certain specialties/departments. Physical Requirements And Working Conditions The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
NP Pediatric PICU Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Pediatric Intensive Care

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$93.75 - $114.84 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P144393-2935 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
NP Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Cardiology

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$93.75 - $114.84 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: LP_00026658-2657140 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
NP Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Developmental-Behavioral Pediatrics

Lucile Packard Children's Hospital Stanford Sunnyvale, CA
$93.75 - $114.84 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P145245-3037 Job Description Department Duties This role would be part of the division of Developmental Behavioral Pediatrics at Stanford Medicine Children's Health, providing care for children at risk for developmental disorders and those with delays and disabilities. The role involves evaluating, diagnosing, managing, and treating various developmental and behavioral conditions from birth through age 13 years old. The Advanced Practice Provider would see patients in the following three clinics: High Risk Infant Follow-Up Clinic (evaluating children born premature and/or with medical problems at birth for developmental assessments over the course of their first three years of life), the Young Childhood Program (assessing children birth through kindergarten for the following concerns: developmental delays, autism, ADHD, anxiety, challenges with sleeping, eating, behavior, disciple or temperament), and the Middle Childhood Program (assessing children in elementary and middle school for conditions such as ADHD, learning difficulties, anxiety, autism, tic disorders, and anxiety, mood or disruptive and aggressive behaviors), including medication management. JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
NP Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Cardiology

Lucile Packard Children's Hospital Stanford Palo Alto, CA
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: LP_00024397-2659098 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Med-Surg Part-time
Banner Health

Registered Nurse RN MedSurg

Banner Health Fort Collins, CO
$30.95 - $51.59 / hour
Primary City/State: Fort Collins, Colorado Department Name: Med/Surg-Hosp Work Shift: Day Job Category: Nursing **10,000.00 Hiring Incentive Available. Relocation Incentive up to $2500.00 Also Avaialable** Better Than Ever for Nurses. We’re making the biggest investment ever in creating a better employment experience for our nursing team members. At Banner Health, we take care of nurses. Nurses take care of everyone. At Banner Health, caring is at the heart of everything we do. Guided by our mission to “make health care easier, so life can be better” we strive to foster well-being in the workplace and our communities. We are honored to have earned Great Place To Work® Certification™ for a third year in a row. Great Place To Work certification is the definitive "employer of choice" recognition. This globally recognized benchmark celebrates organizations that deliver an exceptional employee experience. We are seeking a compassionate, skilled, and motivated Registered Nurse to join our Medical Surgical team on a part-time night shift basis. This is a mixed acuity unit , offering nurses the incredible opportunity to care for patients across a broad skill mix — expanding your clinical expertise and keeping your practice dynamic and rewarding. Schedule Details: 2 shifts per week (12-hour night shifts) Rotating days of the week Every 3rd weekend required Rotating holidays What You'll Do Deliver high-quality, patient-centered nursing care across a mixed acuity Medical Surgical unit Perform comprehensive patient assessments, develop and implement individualized care plans Administer medications, treatments, and interventions in accordance with physician orders and nursing standards Collaborate with an interdisciplinary care team including physicians, therapists, and support staff Educate patients and families regarding care, treatment plans, and discharge needs Maintain accurate and timely documentation in the electronic health record (EHR) Uphold Banner Health's standards of safety, quality, and compassionate care What We're Looking For Required Qualifications: Current, active Registered Nurse (RN) license in the state of Colorado (or compact license eligibility) BLS (Basic Life Support) certification required Strong clinical assessment and critical thinking skills Excellent communication and teamwork abilities Commitment to patient safety and quality outcomes Preferred Qualifications: 1+ year of Medical Surgical or acute care nursing experience ACLS certification Experience in a mixed acuity or progressive care setting Why Banner Fort Collins? Be part of growth — Join us as we expand with a new bed tower and enhanced services Diverse clinical experience — Care for patients across a wide skill mix on a mixed acuity unit Flexible part-time schedule — Work-life balance with only 2 shifts per week Supportive team culture — Work alongside dedicated, compassionate healthcare professionals Beautiful location — Live and work in the heart of Fort Collins, Colorado , with access to world-class outdoor recreation and a vibrant community Banner Health benefits — Access to competitive compensation and benefits even as a part-time team member About Banner Health Banner Health is one of the largest nonprofit health systems in the United States, dedicated to making healthcare easier so life can be better. With facilities across multiple states, Banner Health is committed to providing high-quality, compassionate care to every patient, every time. Banner Fort Collins Medical Center is a full-service, acute-care hospital offering emergency care, orthopedics, general surgery, women’s health, gastroenterology, urology, pulmonology, intensive care and other medical and surgical services. When everyone belongs, life is better, and that is why we are committed to delivering the highest level of quality and safe care. Those who deliver care in our facility will ensure the resources used are aligned to meet the needs of the diverse population in our community. POSITION SUMMARY This position assesses, plans, implements, evaluates and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. This position is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of assigned patients. CORE FUNCTIONS 1. Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs. Reviews patient history and physical with patient/family and assures completion within appropriate timeframe. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessments according to patient need and as outlined in policy. 2. Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of are. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status. 3. Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided. 4. Evaluates the patient's and family's response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient's response and the effectiveness of patient teaching. 5. Documents assessment, planning, implementation and evaluation in the patient record. Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient's response to treatment. Notes physician orders accurately and in a timely manner. 6. Provides care based on the best evidence available and may participate in research activities within clinical practice. Participates in unit or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others through precepting and mentoring when appropriate. 7. Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations. 8. In some roles, this position may supervise staff and work flow of the department. 9.Interacts with all levels of staff in a variety of departments, physicians, patients, families and external contacts, such as employees of other health care institutions, community providers and agencies, concerning the health care of the patient. Interacts with other health care providers in numerous settings in order to report and ask for or clarify information. Also works with clergy to provide spiritual support. Synthesizes and prioritizes data from multiple sources to provide support for the human response of the patient and family to changes in health status. MINIMUM QUALIFICATIONS Must possess a current, valid RN license in state of practice, temporary/interim RN license in state of practice, or compact RN licensure for current state of practice. BLS certification is required. Additional certification or continuing education may be required based on area of practice. Relates throughout the interview process the experience, training and education needed to perform the job. Experience in the clinical area for which he or she is applying is desired. Must maintain clinical performance competencies appropriate to the area in which they work as demonstrated through annual validations. Banner Registry and Travel acute care positions require a minimum of one year experience in an acute care hospital setting. Experience must include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice positions require a minimum of one year experience as a Registered Nurse in a physician practice or an acute care setting. In a Home Health setting, team members must be able to operate personal vehicle and possess a valid driver's license. Auto insurance coverage is also required to be active and maintained. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral or BUMG, BUMCT in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. Employees working at BUMCS in a Behavioral Health clinical setting must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working for Banner Home Care AZ must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working in any Banner Staffing (BSS) Behavioral Health role in Arizona must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. PREFERRED QUALIFICATIONS Bachelor's degree preferred. Professional certification preferred. Additional related education and/or experience preferred. Estimated Pay Range: $30.95 - $51.59 / hour Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained. Anticipated Closing Window (actual close date may be sooner): 2027-01-04 EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy
Caregiver Full-time
Helping Hearts USA LLC

Mobility Assistance Caregiver

Helping Hearts USA LLC Pegram, TN
$18 - $25 / hour
Join the Helping Hearts Team and Make a Difference Today! Day-Shift Caregivers Needed Schedule: Day shifts ranging from 4 to 12 hours Employment Opportunities: Full-time and part-time Weekend Availability: May be required depending on client needs Helping Hearts USA LLC is growing, and we are seeking compassionate, dependable and experienced caregivers to join our team. Available daytime shifts range from 4 to 12 hours. Shift lengths, start times, end times and available days vary according to each client’s care plan, personal preferences and scheduling needs. Applicants must provide their complete daytime availability so they can be considered for appropriate assignments. Once a caregiver accepts a permanent or temporary assignment, they must be able to work the complete scheduled shift consistently. Important Pre-Interview Document Requirement Applicants must possess and present physical copies of all required employment documents during the pre-interview document-verification process. Applicants who do not have the required physical documents available will not be able to move forward in the interview and hiring process. Digital screenshots, photographs or informal copies will not be accepted in place of required physical documents during formal verification. For privacy and identity protection, applicants should not text or email photographs of their Social Security card, birth certificate or other sensitive identity documents. These documents must be presented through the secure verification process directed by Helping Hearts. Client-Care Levels Helping Hearts supports clients with different levels of need. Assignments are matched according to the caregiver’s experience, skills, availability, location and ability to safely complete the care plan. Companionship and Household Support Some clients may primarily need: Meaningful conversation and companionship Social engagement and recreational activities Meal preparation and cleanup Grocery organization and errands Light housekeeping Laundry and linen changes Organization of the client’s immediate living space Medication reminders Transportation to approved appointments and activities Safety observation and general supervision Personal Care and Activities of Daily Living Other clients may require hands-on assistance with: Bathing or showering Sponge baths and personal hygiene Dressing and undressing Grooming, hair care and oral care Toileting and incontinence care Changing protective undergarments Meal assistance and hydration reminders Walking and mobility assistance Wheelchair support Entering and exiting vehicles Repositioning and comfort measures Maintaining dignity, privacy and independence during personal care Dementia and Memory-Care Support Some assignments may involve clients living with dementia, Alzheimer’s disease or other cognitive conditions. Responsibilities may include: Providing calm and consistent supervision Offering appropriate redirection and reassurance Supporting established routines Monitoring for confusion, agitation, wandering or changes in behavior Encouraging safe and appropriate activities Maintaining a quiet, respectful and supportive environment Following client-specific communication and safety strategies Immediately reporting significant behavioral or cognitive changes Caregivers assigned to dementia or memory-care clients must remain patient, attentive and aware of the client’s location and safety throughout the entire shift. Mobility, Transfer and Higher-Assistance Support Some clients may have limited mobility, be at high risk for falls or require significant physical assistance. Depending on the care plan and caregiver training, responsibilities may include: Assisting with walking and balance Supporting wheelchair mobility Assisting with bed mobility and repositioning Helping clients move between the bed, wheelchair, chair, commode or toilet Using an approved gait belt when directed Assisting with sit-to-stand or stand-to-sit transfers Using a mechanical or Hoyer lift only after required training and authorization Following all one-person or two-person transfer requirements Requesting assistance when a transfer cannot be completed safely Caregivers must never attempt an unsafe transfer or use equipment they have not been trained and authorized to operate. Non-Medical Health Support Depending on the assignment, caregivers may also be responsible for: Providing medication reminders according to the approved care plan Assisting clients with approved blood-glucose monitoring Documenting readings when required Observing food and fluid intake Monitoring for changes in physical, emotional or behavioral condition Reporting falls, injuries, pain, swelling, bruising, redness, skin concerns, confusion or unusual behavior Following established emergency and office-notification procedures Accurately documenting all completed tasks, observations and concerns Helping Hearts provides non-medical personal support. Caregivers must remain within their authorized role and follow the client’s approved care plan. Physical Requirements Applicants must be able to safely perform the essential responsibilities of their accepted assignment, with or without a reasonable accommodation. Physical responsibilities may include: Standing, walking or sitting for extended periods Frequently bending, reaching, turning and twisting Kneeling or squatting when necessary for safe care Using stairs in certain client homes Assisting clients with walking, balance and mobility Pushing or maneuvering a wheelchair Assisting with repositioning in a bed or chair Supporting safe transfers according to the care plan Handling laundry, groceries, household supplies and care equipment Completing light housekeeping throughout the shift Wearing required personal protective equipment Responding promptly during falls, emergencies or changes in condition The physical demands of each assignment may vary. Caregivers must review the requirements before accepting an assignment and disclose any limitation that could prevent them from safely performing the required care. Client Environments Care may be provided in: Private homes Independent-living communities Assisted-living communities Memory-care communities Senior-living facilities Other company-approved settings Applicants should understand that: Some homes may have dogs, cats or other household pets. Some clients require caregivers who are non-smokers. Some client environments may not be completely smoke-free. Applicants must disclose allergies, pet restrictions, smoke sensitivities or other environmental limitations before accepting an assignment. Family members, facility employees or other approved individuals may be present. Approved safety cameras or monitoring equipment may be present. Caregivers must follow all facility, household, confidentiality and safety requirements. Transportation, parking and travel conditions will vary by location. Caregivers must respect the client’s home, property, privacy and personal preferences. Hours and Assignment Disclaimer Helping Hearts offers day shifts ranging from 4 to 12 hours. Specific hours and assignments depend on: Current client needs The client’s requested schedule The client’s care level The client’s location Caregiver experience and qualifications Caregiver availability Transportation and travel distance Client and family preferences Assignment compatibility Changes in the client’s condition or service needs Full-time or part-time status does not guarantee a specific client, assignment, schedule or number of weekly hours. Client schedules may increase, decrease, change or end based on the client’s needs and preferences. Clients and families may request a different caregiver when they believe another caregiver would be a better fit. Caregivers may be considered for additional assignments when their availability, experience and location match current needs. Once a caregiver accepts an assignment, dependable attendance and completion of the entire scheduled shift are required. Employment Qualifications Applicants must: Be at least 18 years old. Possess a high school diploma, GED or equivalent. Have professional caregiving, personal-care, home-care or related experience. Demonstrate compassion, patience, professionalism and dependability. Follow written care plans and office instructions. Communicate professionally with clients, office staff and approved facility personnel. Complete accurate electronic documentation during every shift. Have reliable access to a smartphone. Maintain client confidentiality. Remain attentive and awake throughout every assigned shift. Follow all attendance, call-off, clock-in, clock-out and documentation requirements. Safely perform the physical responsibilities of the accepted assignment. Complete required orientation, training and assignment-specific instruction. CPR and First Aid certification are not listed as pre-interview document requirements for this position. Required Physical Documents Applicants must have physical copies of the following documents available before moving forward in the interview process: Valid current driver’s license Social Security card Birth certificate Proof of high school completion, GED or equivalent Current automobile-insurance documentation Government-issued photo identification, if different from the driver’s license Any additional identity or employment-authorization documentation required for Form I-9 verification Any state-specific or assignment-specific documents requested by Helping Hearts Applicants must bring the original physical documents or acceptable certified copies when instructed. Screenshots or photographs stored on a telephone will not satisfy the physical-document requirement. Form I-9 employment verification will be completed in accordance with federal requirements. Applicants may present any acceptable document or legally permitted combination of documents for Form I-9 purposes. Required Employment Information Applicants must also provide: A current resume A complete five-year employment history Five professional references Current contact information for each professional reference Complete daytime availability Disclosure of any transportation, pet, smoking or physical limitations that could affect assignment eligibility Friends and family members may not be used as professional references. Transportation Requirements Applicants must have: A valid current driver’s license Active automobile insurance Reliable personal transportation An acceptable driving record The ability to travel to assigned client locations The ability to transport clients when required and authorized Caregivers must immediately report any change affecting their driver’s license, automobile insurance, vehicle availability or ability to transport clients safely. Background and Screening Requirements Applicants must: Complete a comprehensive background check covering up to 15 years, where legally permitted. Complete required abuse, neglect and sex-offender registry checks. Complete a pre-employment drug screening when applicable. Participate in random drug screening when required by company policy. Provide favorable and verifiable professional references. Report any criminal charge or legal change that may affect their ability to provide safe care. Have no disqualifying history related to abuse, neglect, exploitation, theft, fraud, violence, weapons or other offenses that would prevent safe employment, subject to applicable laws and individual review. Contingencies and Compliance Employment offers are contingent upon: Completion of the pre-interview document-verification process Presentation and verification of all required physical documents Satisfactory completion of the comprehensive background check Satisfactory completion of applicable registry checks Completion of drug screening when required Verification of the applicant’s driving credentials and automobile insurance Receipt of favorable professional references Verification of employment history Completion of all required orientation and training Compliance with applicable state and federal requirements Applicants who cannot provide the required physical documents or successfully complete the required screenings will not be eligible to move forward in the hiring process. Professional Appearance and Uniform Caregivers must arrive clean, prepared and professionally dressed. The required uniform includes: Solid navy-blue scrubs Closed-toe and closed-heel shoes Clean and professional appearance Hair secured when necessary for safety No strong fragrances Appropriate personal hygiene Why Join Helping Hearts? Full-time and part-time opportunities Day shifts ranging from 4 to 12 hours A variety of client assignments Assignment matching based on experience and availability A supportive and team-focused work environment Orientation and ongoing training Opportunities for professional development The chance to build meaningful client relationships The opportunity to make a genuine difference in the lives of individuals and families How to Apply Submit your resume along with a complete description of your caregiving experience, qualifications and daytime availability. Before applying, please confirm that you possess physical copies of all required documents and can present them during the pre-interview verification process. To apply or learn more, call or text our main hiring number at 615-645-3999 . Helping Hearts USA LLC is an equal opportunity employer. We celebrate diversity and are committed to maintaining an inclusive workplace for all employees. Ready to make a difference? Apply today and become part of the Helping Hearts team!
RN Mother-Baby Full-time
Alaska Native Tribal Health Consortium

Lactation Consultant RN - $10,000 Sign on + Relocation

Alaska Native Tribal Health Consortium Anchorage, AK
The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction. ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation’s largest state. Our vision: Alaska Native people are the healthiest people in the world. ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes: Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers. Cost-Share Dental and Vision Insurances Discounted Pet Insurance Retirement Contributions with Pre-Tax or Roth options into a 403(b). 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer. Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service. Eleven Paid Holidays Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members. Flexible Spending Accounts for Healthcare and Dependent Care. Ancillary Cash Benefits for accident, hospital indemnity, and critical illness. On-Site Child Care Facility with expert-designed classrooms for early child development and preschool. Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice. Tuition Discounts for you and your eligible dependents at Alaska Pacific University. On-Site Training Courses and Professional Development Opportunities. License and certification reimbursements and occupational insurance for medical staff. Emergency Travel Assistance Education Assistance or Education leave eligibility Discount program for travel, gym memberships, amusement parks, and more. Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org. Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act. Summary: Under general supervision, the Lactation Consultant RN provides safe, family-centered, culturally appropriate patient care by assessing, planning, implementing, and evaluating lactation plans for the breastfeeding/chest-feeding dyad and the pumping parent. Works collaboratively with the patient and members of the health care team to develop feeding plans for a range of infants, from the normal newborn to the complex neonate, demonstrating specialized knowledge and clinical expertise in breastfeeding/chest-feeding and human lactation. As an integral member of the interdisciplinary team, the Lactation Consultant RN functions within the Scope of Practice as defined by the International Board of Lactation Consultant Examiners (IBLCE) and adheres to the policies, procedures, and guidelines of care of the Alaska Native Medical Center. Under general supervision, the Lactation Consultant RN provides safe, family-centered, culturally appropriate patient care by assessing, planning, implementing, and evaluating lactation plans for the breastfeeding/chest-feeding dyad and the pumping parent. Works collaboratively with the patient and members of the health care team to develop feeding plans for a range of infants, from the normal newborn to the complex neonate, demonstrating specialized knowledge and clinical expertise in breastfeeding/chest-feeding and human lactation. As an integral member of the interdisciplinary team, the Lactation Consultant RN functions within the Scope of Practice as defined by the International Board of Lactation Consultant Examiners (IBLCE) and adheres to the policies, procedures, and guidelines of care of the Alaska Native Medical Center. Responsibilities: Provides lactation support and services to the breastfeeding/chest-feeding dyad, including management, care planning, education, and instruction. Communicates effectively with patients, families, physicians, and coworkers, and consistently advocates for the nursing dyad. Performs inpatient consultations, telephone triage, and prenatal education as appropriate. Uses current evidence to develop feeding plans that address individual feeding issues while respecting the family’s feeding goals. Assesses the adequacy of breastfeeding and provides interventions as necessary. Assists parents of infants who cannot breastfeed to establish and maintain a milk supply and to store their milk appropriately. Evaluates and documents the patient’s response to care and initiates independent and/or collaborative changes where appropriate. Collaborates with the interdisciplinary team and the outpatient Lactation Consultant to provide continuity of care upon discharge. Teaches, coaches, supports, and mentors nursing staff and other healthcare learners to promote evidence-based clinical practice and support breastfeeding skills. Performs other duties as assigned. Provides lactation support and services to the breastfeeding/chest-feeding dyad, including management, care planning, education, and instruction. Communicates effectively with patients, families, physicians, and coworkers, and consistently advocates for the nursing dyad. Performs inpatient consultations, telephone triage, and prenatal education as appropriate. Uses current evidence to develop feeding plans that address individual feeding issues while respecting the family’s feeding goals. Assesses the adequacy of breastfeeding and provides interventions as necessary. Assists parents of infants who cannot breastfeed to establish and maintain a milk supply and to store their milk appropriately. Evaluates and documents the patient’s response to care and initiates independent and/or collaborative changes where appropriate. Collaborates with the interdisciplinary team and the outpatient Lactation Consultant to provide continuity of care upon discharge. Teaches, coaches, supports, and mentors nursing staff and other healthcare learners to promote evidence-based clinical practice and support breastfeeding skills. Performs other duties as assigned. Other Information: KNOWLEDGE, SKILLS, ABILITIES: Knowledge of breastfeeding/chest-feeding and human lactation, and of the IBLCE Scope of Practice. Knowledge of nursing science, principles, techniques, and procedures for the care of patients. Knowledge of healthcare terminology, anatomy, physiology, and concepts of disease. Knowledge and ability to utilize evidence-based practice to develop the plan of care and interventions. Knowledge of the hospital environment and how the services and functions interact. Knowledge of a shared governance environment with shared decision-making. Skill in critical thinking to provide effective and compassionate nursing care, assessing patient situations and taking effective courses of action. Skill in providing cardiopulmonary resuscitation. Skill in assessing and prioritizing multiple requests by patients, families, and team members. Knowledge of Alaska Tribal Health System, ANTHC, and Alaska Native culture(s). Skill in operating a personal computer utilizing a variety of applications. Ability to establish and maintain cooperative working relationships with others. Ability to manage multiple priorities and tasks concurrently and meet deadlines. Ability to communicate effectively. MINIMUM EDUCATION QUALIFICATION An Associate’s Degree in Nursing. Equivalent knowledge, experience, education, or training may be substituted for education. Must have participated in 30 hours every 2 years of continuing education in nursing in general, 16 of which are in the specific area of practice. MINIMUM EXPERIENCE QUALIFICATION Specific experience may be required for each work area. MINIMUM CERTIFICATION QUALIFICATION Current Registered Nurse license in the State of Alaska. Current Basic Life Support (BLS) card required. Current International Board Certified Lactation Consultant (IBCLC) required. Current Neonatal Resuscitation Program (NRP) certification required. PREFERRED EDUCATION QUALIFICATION Bachelor of Science in Nursing (BSN) preferred. PREFERRED EXPERIENCE QUALIFICATION Two (2) or more years of nursing experience preferred. NICU Experience Preferred. PREFERRED CERTIFICATION QUALIFICATION National certification is preferred. ADDITIONAL REQUIREMENTS Depending on the needs of the organization, some incumbents in this job class may be required to obtain additional certifications or training in one or more specialty areas. Knowledge, Skills, Abilities: Knowledge of breastfeeding/chest-feeding and human lactation, and of the IBLCE Scope of Practice. Knowledge of nursing science, principles, techniques, and procedures for the care of patients. Knowledge of healthcare terminology, anatomy, physiology, and concepts of disease. Knowledge and ability to utilize evidence-based practice to develop the plan of care and interventions. Knowledge of the hospital environment and how the services and functions interact. Knowledge of a shared governance environment with shared decision-making. Skill in critical thinking to provide effective and compassionate nursing care, assessing patient situations and taking effective courses of action. Skill in providing cardiopulmonary resuscitation. Skill in assessing and prioritizing multiple requests by patients, families, and team members. Knowledge of Alaska Tribal Health System, ANTHC, and Alaska Native culture(s). Skill in operating a personal computer utilizing a variety of applications. Ability to establish and maintain cooperative working relationships with others. Ability to manage multiple priorities and tasks concurrently and meet deadlines. Ability to communicate effectively. MINIMUM EDUCATION QUALIFICATION An Associate’s Degree in Nursing. Equivalent knowledge, experience, education, or training may be substituted for education. Must have participated in 30 hours every 2 years of continuing education in nursing in general, 16 of which are in the specific area of practice. Minimum Experience Qualification Specific experience may be required for each work area. MINIMUM CERTIFICATION QUALIFICATION Current Registered Nurse license in the State of Alaska. Current Basic Life Support (BLS) card required. Current International Board Certified Lactation Consultant (IBCLC) required. Current Neonatal Resuscitation Program (NRP) certification required. Preferred Education Qualification Bachelor of Science in Nursing (BSN) preferred. Preferred Experience Qualification PREFERRED CERTIFICATION QUALIFICATION National certification is preferred. Additional Requirements Depending on the needs of the organization, some incumbents in this job class may be required to obtain additional certifications or training in one or more specialty areas.
Caregiver Full-time
Helping Hearts USA LLC

Private Caregiver

Helping Hearts USA LLC Nashville, TN
NOW HIRING: EXPERIENCED CAREGIVER – BEDBOUND CLIENT Hoyer Lift Experience Required | $17–$19/Hour | 12-Hour Shifts Helping Hearts USA LLC is looking for an experienced, dependable, compassionate, and energetic caregiver to join our care team and provide one-on-one support for a fully bedbound client. This is a hands-on total-care assignment , not a basic companionship position. We need someone who is confident providing personal care, understands the responsibilities involved in caring for a fully dependent client, has Hoyer lift experience , and takes reliability, professionalism, compassion, and client dignity seriously. CNA certification or a higher healthcare credential is a PLUS, but it is NOT required. Experienced caregivers without a CNA certification are encouraged to apply if they have strong, verifiable hands-on caregiving experience. We are looking for someone who wants to become a consistent and trusted member of the client's care team , not someone looking for occasional or inconsistent shifts. PAY & AVAILABLE SHIFTS Pay: $17.00–$19.00 per hour, based on experience, qualifications, credentials, availability, and assignment requirements. Day Shift: 7:00 AM–7:00 PM Night Shift: 7:00 PM–7:00 AM Night shift is an AWAKE overnight position. NO SLEEPING is permitted. WEEKEND AVAILABILITY IS REQUIRED Applicants must be consistently available to work at least one weekend day each week. Saturday availability is strongly preferred. We are seeking caregivers who can commit to a dependable, ongoing schedule. Your availability will be discussed and confirmed during the hiring process. Once you accept a recurring client schedule, you are expected to maintain that commitment. This position is not appropriate for applicants whose availability changes frequently after accepting an assignment. CLIENT CARE RESPONSIBILITIES This client is fully bedbound and requires extensive hands-on assistance. Caregiver responsibilities include: Providing continuous supervision, safety monitoring, and companionship throughout the scheduled shift. Providing complete assistance with activities of daily living (ADLs). Performing thorough bed baths and maintaining the client's personal hygiene. Assisting with grooming, oral hygiene, dressing, hair care, and shaving as required. Providing prompt and thorough incontinence and perineal care. Regularly checking the client for wet or soiled briefs and providing care promptly to maintain cleanliness, comfort, dignity, and skin integrity. Repositioning the client according to the established care plan to maintain comfort and reduce prolonged pressure. Safely operating a Hoyer lift and other approved transfer equipment according to the client's individualized care plan. Assisting with approved transfers between the bed, wheelchair, recliner, or other designated areas. Following all established transfer, mobility, and positioning precautions. Observing the client's skin during personal care and immediately reporting redness, irritation, bruising, swelling, skin breakdown, or other changes. Preparing appropriate meals and snacks according to the client's established dietary instructions and preferences. Providing feeding assistance when required. Offering and encouraging fluids regularly according to the client's care plan. Monitoring food and fluid intake and reporting significant concerns or changes. Providing permitted non-medical medication reminders and assistance according to the established care plan and agency policy. Monitoring for changes in the client's behavior, cognition, mobility, appetite, hydration, elimination, sleep patterns, skin condition, or overall well-being. Immediately reporting changes in condition, incidents, or safety concerns to management. Changing sheets and bedding and maintaining a clean, dry, sanitary, and comfortable sleeping environment. Completing client laundry, including clothing, towels, washcloths, sheets, and bedding. Performing routine light housekeeping and maintaining the client's bedroom, bathroom, kitchen, and commonly used areas. Keeping the client's care supplies and environment clean, sanitary, and appropriately organized. Properly disposing of trash and used personal-care supplies. Providing meaningful companionship and appropriate engagement while respecting the client's preferences, privacy, dignity, and independence. Completing all required electronic documentation, care tasks, shift notes, and change-of-condition reporting accurately and on time. EXPERIENCE REQUIREMENTS CNA certification is NOT required. CNA certification or a higher-level healthcare credential is strongly preferred and considered a plus. Applicants without a CNA certification may still be considered if they have strong and verifiable professional caregiving experience . We are specifically looking for applicants with experience providing care involving: Fully bedbound or significantly mobility-impaired clients. Total-assistance or high-care-needs clients. Bathing and bed baths. Incontinence and perineal care. Repositioning and bed mobility. Hoyer lift transfers. Gait belts and other approved transfer equipment. Dressing and grooming. Feeding assistance. Meal preparation. Dementia or cognitive impairment when applicable. Maintaining client safety throughout extended shifts. HOYER LIFT EXPERIENCE IS REQUIRED Previous hands-on Hoyer lift experience is required for this particular assignment. Applicants must be comfortable safely following an established transfer plan and using approved transfer equipment. Simply stating that you are familiar with a Hoyer lift may not be sufficient. Applicants should be prepared to discuss their previous hands-on experience, and competency may be verified before independent placement. VERIFIABLE EMPLOYMENT HISTORY & PROFESSIONAL REFERENCES We are looking for caregivers with a demonstrated history of reliability, professionalism, and job commitment. Applicants must be prepared to provide: A complete five-year employment history when requested. Verifiable previous caregiving employment and experience. Professional references from previous employers, supervisors, facilities, agencies, nurses, or other appropriate professional sources. References who can speak to your reliability, attendance, professionalism, caregiving abilities, communication, and work performance. Accurate information regarding previous caregiving responsibilities and employment. Professional employment references are required. Personal references alone may not satisfy the professional-reference requirement for this assignment. ATTENDANCE & RELIABILITY ARE EXTREMELY IMPORTANT Our clients and their families depend on caregivers arriving on time, prepared, and ready to provide care. Accepting an assignment means making a commitment to the client, their family, your fellow caregivers, and our agency. Caregivers are expected to: Arrive on time for every scheduled shift. Maintain the availability provided during the hiring and placement process. Complete required shift confirmations. Maintain reliable communication with management. Remain for the entire scheduled shift. Never leave a dependent client unattended without authorization. Never leave before the relieving caregiver arrives when continuous coverage is required. Complete an appropriate caregiver-to-caregiver handoff before departing. Immediately contact management if an emergency or unexpected circumstance could affect attendance. Repeated lateness, failure to communicate, excessive call-outs, failure to confirm scheduled shifts, no-call/no-shows, or leaving a dependent client before appropriate relief arrives are serious violations of agency expectations. AWAKE OVERNIGHT POSITION – ABSOLUTELY NO SLEEPING For caregivers working 7:00 PM–7:00 AM, this is an AWAKE overnight assignment. Sleeping while on duty is strictly prohibited. Night-shift caregivers must remain awake, alert, responsive, attentive, and available to the client throughout the entire 12-hour shift. Sleeping, napping, dozing, intentionally lying down to rest, or otherwise becoming unavailable to the client is not permitted. Caregivers may not sleep on the client's couch, recliner, bed, chairs, floor, or other household furniture. Caregivers may not use the client's blankets, pillows, bedding, or other personal belongings for sleeping or personal comfort. The fact that the client may be sleeping does not mean the caregiver's responsibilities stop. Overnight responsibilities may include: Regular client checks according to the care plan. Incontinence and personal care. Repositioning. Hydration. Toileting assistance. Safety monitoring. Laundry. Light housekeeping. Preparing the client's environment for the following day. Completing required documentation. Responding promptly whenever the client requires assistance. Sleeping while responsible for a client is a serious violation of agency policy and may result in immediate removal from the assignment and disciplinary action up to and including termination. PERSONAL CELLPHONE POLICY Personal cellphone use must remain limited while providing client care. Extended personal telephone conversations, social-media use, watching videos, texting, or other personal activities that interfere with client care, supervision, or assigned responsibilities are not acceptable. The caregiver's primary attention must remain focused on the client and assigned responsibilities throughout the shift. REQUIRED WORK UNIFORM Helping Hearts USA LLC caregivers are expected to arrive for every shift clean, properly groomed, and professionally dressed. Required Uniform: Solid Navy Blue Scrubs Caregivers must wear: Clean, solid navy blue scrub tops and scrub pants. Closed-toe and closed-heel shoes appropriate for caregiving duties and transfers. Clean, secure, professional footwear. Crocs, open-back shoes, slippers, sandals, flip-flops, or other inappropriate footwear are not permitted. Hair must be clean, neat, and appropriately secured when necessary for safe hands-on care. Personal hygiene must be maintained throughout every shift. Strong perfumes, colognes, body sprays, and fragrances should be avoided because clients may have allergies, sensitivities, or respiratory conditions. Caregivers must remain appropriately dressed throughout the entire shift. A client's home is a professional workplace while you are on duty. ADDITIONAL EMPLOYMENT REQUIREMENTS Applicants must: Have verifiable hands-on caregiving experience. Have previous hands-on Hoyer lift experience. Provide verifiable professional employment references. Demonstrate a history of reliability and job commitment. Have a valid driver's license. Have reliable transportation to and from assigned client locations. Provide proof of current automobile insurance when required. Successfully complete required criminal background screening. Meet applicable abuse-registry and sex-offender-registry screening requirements. Complete required drug screening when requested and remain eligible for random drug screening according to agency policy. Possess or obtain current CPR and First Aid certification as required. Provide required identification and employment documentation. Provide a high school diploma or GED as required. Provide a complete five-year employment history when requested. Successfully complete agency onboarding and orientation. Complete all required agency training. Complete client-specific training and competency verification when required before independent placement. Be able to accurately use the agency's electronic scheduling, clock-in/clock-out, documentation, and communication systems. Maintain client confidentiality and appropriate professional boundaries at all times. Maintain reliable communication with management. Be consistently available for at least one weekend day each week, with Saturday strongly preferred. WHO WE ARE LOOKING FOR We want caregivers who are: Reliable. Trustworthy. Compassionate. Experienced. Patient. Professional. Attentive. Energetic. Consistent. Our clients and their families place an enormous amount of trust in the caregivers entering their homes. For a fully bedbound and dependent client, reliable care matters every hour of every shift. Personal care, incontinence care, repositioning, hydration, hygiene, supervision, communication, and companionship cannot simply be skipped or postponed. We are looking for caregivers who take pride in their work, understand the responsibility of caring for a vulnerable individual, communicate effectively, follow the established care plan, and provide the same level of dignity and compassionate care they would want for someone they love. POSITION AT A GLANCE Position: Experienced Bedbound Caregiver Pay: $17.00–$19.00 per hour Day Shift: 7:00 AM–7:00 PM Night Shift: 7:00 PM–7:00 AM Overnight Requirement: Awake overnight – NO sleeping Weekend Availability: REQUIRED – Must consistently work at least one weekend day each week Saturday Availability: Strongly preferred CNA or Higher Credential: Preferred and considered a plus – NOT required Caregiving Experience: Verifiable hands-on experience required Hoyer Lift Experience: REQUIRED Professional References: REQUIRED Reliable Transportation: REQUIRED Uniform: Solid navy blue scrubs with closed-toe, closed-heel professional footwear If you are an experienced, dependable caregiver who is ready to commit to a consistent schedule and provide safe, compassionate, hands-on care, we would love to hear from you. Apply today to join the Helping Hearts USA LLC care team.
LPN Outpatient Full-time
Mount Sinai Health System

Licensed Practical Nurse-AMB CARE SERV - Clinic-New York Eye and Ear Infirmary of Mount Sinai-Full Time, Days, Rotating Weekends

Mount Sinai Health System New York, NY
$34.64 - $39.84 / year
Description Licensed Practical Nurse-AMB CARE SERV - Clinic-New York Eye and Ear Infirmary of Mount Sinai-Full Time, Days, Rotating Weekends The practice of nursing as a Licensed Practical Nurse is defined as performing tasks & responsibilities within the scope of supportive & restorative care; medication administration and specialized tasks under the direction of a Registered Professional Nurse of licensed or otherwise legally authorized physician or dentist Responsibilities Delivers nursing care in structured & routine situations free of scientific complexity. Assistance with activities of daily living. Administration of treatments and routine tasks such as suctioning and urinary catheterizations. Preparation of patient for surgery, diagnostic tests, treatments, examinations. Administration of medications within scope of practice. Identification and set up of intravenous equipment and delivery of solutions for infusion through peripheral access devices Administer blood or blood products, with special training. Reports pertinent observations, treatments, medications, incidents & accidents associated with patients, to the Registered Professional Nurse & records same on appropriate documents with the format of charting utilized in the unit. Recognizes the unit based model for delivery of nursing care & assumes responsibility for assignments delegated by the Registered Professional Nurse such as: 1) Contributes to nursing care plan in collaboration with other members of nursing staff Reinforces the patient/family teaching process identified by the RN Provides emotional support to patients & their families/significant others Assists with the rehabilitation of patients according to the nursing care plan Provides for the physical comfort & safety of the patient Contributes to patient care conferences Assists in Emergency Resuscitative Procedures by initiating a Team 7000 call, performing resuscitative procedures such as BCLS & carrying out other activities as directed by the team. Documents nursing care delivered on appropriate forms within the medical record. Qualifications Completion of educational program for licensure as a LPN Successful completion of required New York State Department of Health LPN IV Therapy Initial Program for the demonstration of competence in the performance of intravenous therapy/blood administration procedures as part of Centralized Orientation Successful completion of annual unit-based review & update program in procedures associated with intravenous therapy Appropriate experience in a health care setting preferred Licensure: Registration as a LPN (Current) Issuing Agency: New York State Name: Basic Life Saver (BLS) Issuing Agency: AHA Name: Heartsaver Issuing Agency AHA Collective bargaining unit: SEIU 1199-NYEE Compensation Statement The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $34.64 - $39.84 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. SEIU 1199 at New York Eye & Ear, BNJ - Amb Care Serv-Clinic - NYEE, New York Eye and Ear Infirmary Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $34.6352 - $39.8361 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
CNA Full-time
Hayward Hills Healthcare Center

CERTIFIED NURSING ASSISTANT / ALL SHIFTS

Hayward Hills Healthcare Center Hayward, CA
$24 - $26 / hour
FUNCTION Cares for residents under the direction and supervision of a registered nurse or a licensed practical/vocational nurse. QUALIFICATIONS The requirements listed below are representative of the knowledge, skill and/or ability required. Minimum Qualifications: • Freedom from illegal use of drugs • Freedom from use of and effects of use of drugs and alcohol in the workplace. • Anyone found guilty by a court of law of abusing, neglecting, or mistreating individuals in health care related setting are ineligible for employment in the position. Education and/or Experience: Minimum High school diploma or general education degree (GED), or one to three months related experience and/or training or equivalent combination of education and experience preferred. Certificates, Licensees, Registrations: Graduate of a state approved nursing assistant training program and passed a state approved competency examination (written and skills) within 120 days of employment; name entered into state nurse aide registry. LANGUAGE SKILLS Must be able to express self adequately in written and oral communication and to communicate effectively in an interdisciplinary care setting with residents, families and staff members. MATHEMATICAL SKILLS Ability to add and subtract three digit numbers; calculate percentage of whole; measure in cubic centimeters (cc’s); measure in feet and inches. Ability to perform these operations using units of weight measurement, volume, length and height. REASONING ABILITY Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. SUPERVISORY RESPONSIBILITIES N/A ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each key function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions. Care and Services: • Take and records vital signs • Measures and records height and weight • Calculates and records weight gain or loss • Calculate and records fluid intake and output • Cares for the resident’s environment • Recognizes abnormal changes in body functioning and importance of reporting such changes to a supervisor • Cares for residents when death is imminent • Makes routine rounds on each assigned resident every two hours • Bathes residents • Assist with grooming, including mouth care • Dresses residents • Toilet residents • Assist with eating and hydration • Use proper feeding techniques • Calculates and records percentage of meal eaten • Observe resident’s skin when giving care and reports changes to license nurse • Provides skin care • Transfer, position and turns residents • Meets residents’ mental health and social service needs • Modifies own behavior in response to resident’s behaviors • Allows residents to make personal choices • Provides and reinforces other behavior consistent with the residents’ dignity. • Uses the residents’ families as a source of emotional support. • Contributes to the resident’s assessment (MDS/CAA) and the plan of care. • Provides nursing rehabilitation/restorative nursing services: - Promote resident’s ability to adopt and adjust to living as independently as possible - Trains the resident in self-care according to the resident’s abilities - Trains the resident in the use of assistive devices for transferring, walking and mobility. Dressing and grooming, eating and swallowing - Maintains range of motion; proper turning and positioning in bed and chair - Provides bladder and bowel retraining - Instructs the resident on the care and use of prosthetic and orthotic devices - Incorporates training and skill practice activities which include repetition, physical or verbal cueing and task segmentation • Care for residents with dementia: - Knows how to respond to residents’ behaviors - Allows residents to make personal choices - Provides and reinforces other behavior consistent with residents’ dignity - Uses the residents’ families as a source of emotional support - Demonstrates a basic understanding of behavior and functional symptoms associated with dementia by providing interventions and treatments to help reduce these symptoms - Uses modification in the presentation of activities of daily living to maintain and maximize resident competencies and function - Uses effective intervention techniques to address behavioral concerns - Acts as a facilitator for activity programming - Demonstrates effective communication techniques for persons with dementia • Provides non-resident care including, but not limited to: - Washing wheelchairs - Cleaning soiled utility areas - Cleaning nurses’ station - Cleaning shower and whirlpool rooms - Cleaning kitchen areas on the nursing unit • Provides transporation of residents to and from hospital and medical appointments RESIDENT RIGHTS Promotes and protects resident’s rights, assists residents to make informed decision, treats residents with dignity and respect, protects residents’ personal belongings, reports suspected abused or neglect, avoids the need for physical restraints in accordance with current professional standards and, supports independent expression, choice and decision-making consistent with applicable law and regulation. LEADERSHIP Demonstrates willingness to try new tasks; generates new ideas for change; evaluates and recognized priorities, challenges others to learn; keeps current and integrates new information, communicates and models organization values; and fosters high performance. PROCESS IMPROVEMENT Applies process improvement methods and techniques and identifies processes for improvement in daily work. ENVIRONMENT OF CARE Demonstrates understanding of fire and emergency procedures; participates in fire and disaster drills; demonstrates understanding of safety and security procedures; applies safety and security precautions; demonstrates understanding of hazardous materials plan; demonstrates proper use of equipment. INFECTION CONTROL Applies hand washing principles during daily work; demonstrates understanding of isolation precautions; recognizes signs and symptoms of infection and complies with the employee health program; demonstrates understanding of the process for identifying and handling infectious waste; maintains personal hygiene; complies with OSHA standards in the workplace; and demonstrates understanding of cross-contamination. INFORMATION MANAGEMENT Enters or records data timely and accurately; protects confidentiality of resident information, protects data against loss or destruction, reports suspected violation of security/confidentiality issues. Monitors and complies with company policies, procedures and state and federal law. INTERPERSONAL SKILLS Demonstrates active listening techniques, gains support through effective relationships, treats others with dignity and respect; and seeks feedback. CONTINUING EDUCATION Attends in-service and education programs; attends continuing education required for maintenance certification. PHYSICAL DEMANDS The physical demands describes here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, use hands or fingers, reach with hands and arms, talk or hear. The employee is occasionally required to sit, climb or balance and stoop or kneel. The employee on occasion will assist to lift and/or transfer Residents weighing between 100 to 250 pounds. Specific vision abilities required by this job include close vision, distance vision and peripheral vision. WORK ENVIRONMENT The work environment characteristics describes here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to blood or other body fluids, fumes or airborne particles and toxic or caustic chemicals. The noise level in the work environment is usually moderate. OTHER REQUIREMENTS Participates in (or conducts) company-sponsored training to safeguard against improper use and disclosure of resident’s protected health information. Monitors and oversees facility’s efforts to comply with company policies, procedures and state and federal law. By his / her signature below, employee agrees to adhere to and oversee communication of privacy guidelines relative to the confidentiality of residents' protected health information. JOB DESCRIPTION REVIEW I understand this job description, its requirements and that I am expected to complete all duties as assigned. I understand the job duties may be altered from time to time. SALARY RANGE: $24.00 to $26.00 PER HOUR DEPENDING ON EXPERIENCE
RN Full-time
Plattsburgh Rehabilitation and Nursing Center

Registered Nurse (RN)

Plattsburgh Rehabilitation and Nursing Center Plattsburgh, NY
Shifts : Evening & Night Shifts Available We offer the Following: Premium Compensation Great Benefits Package Professional Growth & Stability Job Type: Full-time Benefits: 401(k) Dental insurance Health insurance Paid time off RESPONSIBILITIES: · Monitor the daily delivery of nursing care and nursing staff performance as they deliver nursing care to the patients/residents in accordance with established policies and procedures · Plan and conduct shift staff meetings on a regular basis to assist in identifying and correcting problem areas and to assist in the improvement of services · Identify problems or potential problems in the delivery of nursing care to residents and implement corrective action immediately · Make written and oral reports/recommendations to the Director of Nursing as necessary · Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the resident's total regimen of care · Begin investigation of all accidents, including staff interviews, data gathering and report writing · Interpret the nursing department's policies and procedures to personnel, resident, visitors, and government agencies as required · Ensure staff always maintain confidentiality of resident information · Develop work assignments and/or assist in completing and performing such tasks · Delegate to each Charge Nurse the administrative authority, responsibility, and accountability necessary to perform his/her assigned duties · Make daily rounds of assigned units at a minimum at the beginning and end of the shift, depending upon the activity of the units · Follow-up on complaints and grievances filed by resident, families, or staff. Take corrective action as needed and make reports to the Director of Nursing · Ensure that emergency equipment/supply checks are done each shift · Ensure that the resident's environment is maintained in a clean and safe manner · May make determination of death when necessary · Participate in the orientation program for new assigned nursing staff to facilitate their assimilation into the workplace within a reasonable time span and to ensure that each staff member understands his/her role, responsibilities and standards of performance · Complete written performance evaluations on the assigned staff following probation and thereafter annually, and when performance dictates the need, complete additional evaluations · Initiate corrective and progressive disciplinary action, as needed · Ensure that nursing personnel are performing their work assignments in accordance with acceptable nursing standards · Ensure that all nursing service personnel comply with the policies and procedures, including dress code as set forth in the Nursing Procedure Manual · Ensure that an enough nursing staff are scheduled and available for your/next tour of duty to ensure that quality care is maintained, and nursing care needs of the patient/resident are met · Monitor time and attendance of nursing personnel and take corrective action as appropriate · Make recommendations to the Director of Nursing regarding employee dismissals, transfers etc. · Identify learning needs of the nursing staff · Plan, schedule and conduct unit-based in-services as needs are identified · Monitor assigned personnel to ensure that they are following established procedures in the use of equipment · Recommend to the Director of Nursing the equipment and supply needs of the department · Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste · Ensure the prompt repair or replacement of medical/nursing equipment when necessary · Oversee the nursing care to patients/residents to ensure safe, efficient, and customer-oriented services are always delivered. · Inform nursing staff of new admission arrivals and the expected time of arrival · Ensure that rooms are ready for the new admission · Visit resident on report daily to observe and evaluate each resident's physical and emotional status · Review the nurse's notes to ensure that they are informative and descriptive of the nursing care being provided · Provide direct nursing care as necessary · Start and restart IV’s when ordered and when necessary · Ensure the staff refer to the resident's care plan prior to administering care to the resident · Assist the staff nurses in monitoring seriously ill resident · Ensure that all nurses on your shift comply with the written procedures for the administration, storage and control of medications and supplies · Monitor medication passes and treatments to ensure compliance with physician orders and facility policy · Review medication administration records (MAR) for completeness of information, accuracy in the transcription of physician orders · Inspect nursing treatment areas daily, such as clean utility room, to ensure that they are maintained in a clean and safe manner · Meet with family members and resident as needed. · Consult with the resident, family, and physician in planning the resident's care, treatment and rehabilitation · Assist in arranging transportation for transfers to the hospital · Participate in the implementation of facility quality improvement program for the nursing service department · Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing · Attend and actively participate in various committee meetings such as Infection Control, Safety, and Performance Improvement as requested · Implement recommendations from committees as instructed by the Director of Nursing · Perform Performance Improvement audits as assigned · Participate in and adhere to employee health, safety, security and corporate compliance programs and activities · Participate in the implementation and maintenance of the Infection Control program for monitoring and/or reporting communicable and/or infectious diseases among resident and personnel · Assist in developing safety standards for the nursing service department as necessary · Ensure that personnel follow the established procedures for the use and disposal of personal protective equipment · Report malfunction of equipment and/or broken furniture immediately to Maintenance Department · Receive annual physical including appropriate screening for tuberculosis · The ability to conduct all activities within the resident abuse prevention manual · Cooperate with investigations regarding employee health, safety, security, and corporate compliance programs · Report all accident and incidents to Supervisor immediately upon occurrence · Correct unsafe or hazardous condition encountered, if unable to correct, report condition to immediate Supervisor upon discovery · Conduct all activities within established safety, security and infection control procedures and guidelines Conducts all activities within established corporate compliance policies and procedures · Observe and respond to all standing security precautions, devices, and alerts as they pertain to work and common area · Respond to fire/disaster drills and emergencies · Ensure residents safety in accordance with resident safety program. · Follow safety features of the plan of care · Ensure that all personnel performing tasks that involve potential exposure have attended the appropriate in-service training prior to performing such tasks · Ensure that the assigned nursing personnel follow established infection control procedures when isolation precautions become necessary · Ensure that personnel follow the established procedures for the use and disposal of personal protective equipment · Ensure that all residents are wearing appropriate identification bracelets · Participates in mandatory in-service and job training · Assist the Director of Staff Development in providing off shift in-services as necessary · Assist in the Quality Assurance and Performance Improvement (QAPI) process QUALIFICATIONS: EDUCATION / EXPERIENCE: · Bachelor of Science in Nursing (preferred) · Current registration and license to practice as a Registered Nurse in the state employed in · Peripheral IV certification · Two years of clinical nursing experience · One-year experience in a management position preferred · One-year experience in geriatrics and subacute population · CPR/BLS certified · The ability to read, write, speak, and understand the English language required, knowledge of other language helpful We are an Equal Opportunity Employer –M/F/D/V ACKNOWLEDGEMENT Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. All pay rates and bonuses are paid and/ or awarded to employees based on the facilities policy and/ or the CBA, depending on the position.
RN Full-time
Autumn Hills Healthcare Center

STAFF DEVELOPMENT COORDINATOR ( REGISTERED NURSE )

Autumn Hills Healthcare Center Glendale, CA
$52 - $55 / hour
FUNCTION Provides, plans coordinates or manages orientation and in-service education for facility employees. QUALIFICATIONS The requirements listed below are representative of the knowledge, skill and/or ability required. Minimum Qualifications: • Freedom from illegal use of drugs • Freedom from use of and effects of use of drugs and alcohol in the workplace. • Anyone found guilty by a court of law of abusing, neglecting, or mistreating individuals in health care related setting are ineligible for employment in the position. Education and/or Experience: Prefer a registered nurse with management or supervisor experience in long term care or geriatric nursing. Minimum of licensed practical or vocational nurse with experience in long term care of geriatric nursing. Certificates, Licensees, Registrations: Current state license to practice as a nurse. Current CPR certification and additional certification in nursing specialty desired. LANGUAGE SKILLS Ability to read analyze and interprets general business periodicals, professional journals, technical procedures or government regulations. Ability to write reports, business correspondence, nursing/patient progress notes and nursing procedures. Ability to effectively present information and respond to questions from department heads, customers (patients, family members, physicians, etc.) and the general public. Computer skills preferred. MATHEMATICAL SKILLS Ability to add and, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals. Ability to compute rate, ratio and percent and to draw interpret bar graphs. REASONING ABILITY Ability to solve practical problems and deal with a variety of concrete variables. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each key function satisfactory. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions. Care and Services: • Responsible for facility education programs, including orientation and ongoing services. • Designs, plans and provides education programs on all shifts and for all departments. • Participate in staff evaluation process by providing attendance records and observation of employees’ performance. • Provide general facility information to all new employees and ongoing in-service education. • Maintains currently education records of classes and content of in-service conducted, attendance and performance of facility employees. • Plans and provides annual schedule of planed education programs. • Creates lesson plans containing objectives, course content, method of instruction and method of evaluation. • Applies adult learning principles. • If provided by the facility, conducts and maintains the nurse aide training program. • In charge of the facility in absence of high ranking management. • Accepts only those nursing assignments that are commensurate with one’s own educational preparation, experience, knowledge and ability and obtains instruction and supervision as necessary when implementing nursing procedures and practices. Resident Rights Promotes and protects resident’s rights, assists patients to make informed decision, treat patients with dignity and respect, protect patients’ personal belongings, report suspected abused or neglect, avoids the need for physical restraint in accordance with current professional standards and, supports independence expression, choice and decision-making consistent with applicable law and regulation. Leadership Demonstrates willingness to try new tasks; generates new ideas for change; evaluates and recognized priorities, selects effective team members, challenges others to learn, keeps current and integrates new information, communicates and models organization values, foster high performance, recognizes need for and provides adequate resources. Process Improvement Applies process improvement methods and techniques and identifies processes for improvement in daily work. Environment of Care Demonstrates understanding of fire and emergency procedures; participates in fire and disaster drills; demonstrates understanding of safety and security procedures; applies safety and security precautions; demonstrates understanding of hazardous materials plan; demonstrates proper use of equipment. Infection Control Applies hand washing principles during daily work; demonstrates understanding of isolation precautions; recognizes signs and symptoms of infection and complies with the employee health program; demonstrates understanding of the process for identifying and handling infectious waste; maintain personal hygiene; complies with OSHA standards in the workplace; and demonstrates understanding of cross-contamination. Information Management Enters or records data timely and accurately; protects confidentiality of resident information, protects data against loss or destruction, logs on the system using own passwords, logs off the system when leaving the work station, reports suspected violation of security/confidentiality issues, reviews identifies trends and delete passwords of employees no longer needing access to software programs. Monitors and oversees facility’s efforts to comply with company policies, procedures and state and federal law. INTERPERSONAL SKILLS Demonstrates active listening techniques, gains support through directive relationships, treats others with dignity and respect, seeks feedback, sets clear standards for performance, evaluate job performance and provides effective feedback, establishes system to measure effectiveness, efficiency and service and creates and maintains reporting mechanisms. CONTINUING EDUCATION The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, use hands or fingers, reach with hands and arms, talk or hear. The employee is occasionally required to sit, climb or balance and stoop or kneel. The employee on occasion will assist to lift and/or transfer patients weighing between 100 to 250 pounds. Specific vision abilities required by this job include close vision, distant vision and peripheral vision PHYSICAL DEMANDS The physical demands describes here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, use hands or fingers, reach with hands and arms, talk or hear. The employee is occasionally required to sit, climb or balance and stoop or kneel. The employee on occasion will assist to lift and/or transfer Residents weighing between 100 to 250 pounds. Specific vision abilities required by this job include close vision, distance vision and peripheral vision. WORK ENVIRONMENT The work environment characteristics describes here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to blood or other body fluids, fumes or airborne particles and toxic or caustic chemicals. The noise level in the work environment is usually moderate. OTHER REQUIREMENTS Participates in (or conducts) company-sponsored training to safeguard against improper use and disclosure of resident’s protected health information. Monitors and oversees facility’s efforts to comply with company policies, procedures and state and federal law. By his / her signature below, employee agrees to adhere to and oversee communication of privacy guidelines relative to the confidentiality of residents' protected health information. JOB DESCRIPTION REVIEW I understand this job description, its requirements and that I am expected to complete all duties as assigned. I understand the job duties may be altered from time to time. SALARY RANGE: $52.00 to $55.00 PER HOUR DEPENDING ON EXPERIENCE
RN Full-time
Mount Sinai Health System

Clinical Nurse (RN)- Mt Sinai Hospital Main Radiology- 11a-9:30p- EOW- Some Holidays

Mount Sinai Health System New York, NY
$64.85 / year
Description The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a designated group of patients and significant others. Responsibilities Patient Care 1. Delivers patient care by incorporating the tenets of the professional practice model of Relationship Centered Care and through the application of the nursing process based upon theory, research, evidence-based practice, and approved organizational nursing standards. 2. Assesses and evaluates patient care needs and applies critical thinking skills in patient care management. 3. Integrates relevant assessment and intervention skills in the delivery of nursing care. 4. Collaborates with the interdisciplinary healthcare team in the development, implementation, and evaluation of the plan of care. 5. Prioritizes all aspects of patient care including teaching, rounding, coaching, and planning after hospital care and delegating to others as appropriate. 6. Educates patients and caregivers while anticipating needs and readiness to learn, about their plan of care, transition of care, promotion of health, and prevention of disease. 7. Communicates effectively and professionally with patients, family and all members of the Interdisciplinary Patient Care Team. 8. Manages assignments within the Care Delivery Model of Modified Primary Nursing and demonstrates allocation of material resources effectively. Patient Experience 1. Role models the tenets of Mount Sinai Relationship Centered Care (MSHRCC) through facilitation of the following actions including, but not limited to, Admission Welcome, Bedside shift Report, HELP (High Risk Medications, Equipment, Lines, Drains, Airway, Pain and Plan of Care), AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration. 2. Considers the patients values, preferences, expressed needs and knowledge in all aspects of care. 3. Establishes and maintains a therapeutic relationship with the patient and family. 4. Uses evidence-based practices to increase understanding of patient's perceptions of care. 5. Initiates service recovery for patients and family members who have concerns and escalates to Clinical Nurse Manager/Assistant Nurse Manager/Nursing Administrator or Patient Relations as needed. 6. Demonstrates caring, respect, compassion, empathy and active listening through dialogue, body language and actions. 7. Supports staff use of evidence-based practices to increase understanding of patient's perceptions of care. 8. Conducts Purposeful Hourly Rounding (PHR) on assigned patients addressing the 4 Ps. Quality and Safety 1. Practices safe and efficient patient-centered care, identifying and escalating barriers and opportunities for improvement. 2. Demonstrates clinical skills and knowledge crucial to quality and safety in the patient population served. 3. Implements process improvement strategies based on institutional, evidence-based ensure and procedures. 4. Engages in formal and informal peer and institutional review processes. 5. Collaborates with interdisciplinary teams to create and implement quality improvement projects, evidence-based practice activities and nursing research studies. 6. Contributes to quality and safety practices and required compliance measures. 7. Implements principles of high reliability to identify and avoid high risk behaviors to provide a safe environment for patients. 8. Escalates potential safety hazards or gaps from best practice following institutional chain of command protocol. 9. Utilizes institutional information technology by documenting nursing practice to support quality and performance improvement initiatives. Operations 1. Performs charge nurse duties as assigned. 2. Coordinates with the Clinical Coordinator/Clinical Nurse Manager/Assistant Nurse Manager/Nursing Administrator to ensure supplies are appropriately utilized and inventory is sufficient for patient care. 3. Escalates material or staffing resource deficits to charge nurse, Clinical Nurse Manager/Assistant Nurse Manager or Nursing Administrator. 4. Demonstrates patient focused and cost-effective approaches to patient care in terms of equipment, staff, supplies and all other resources. 5. Documents in an accurate and thorough manner in compliance with hospital, regulatory and legal requirements and standards of care. 6. Facilitates patient throughput on a shift basis. Professional Development 1. Contributes to the environment of care to support clinical colleagues, patients and their families and members of the healthcare team. 2. Advances clinical competence in nursing practice to progress from novice to expert. 3. Projects a professional image to colleagues and communicates with styles and methods that demonstrate caring, respect, compassion and empathy. 4. Incorporates ethical principles into decision making for patient and family. 5. Encourages and demonstrates a spirit of scholarship, inquiry, life-long learning and innovation for self and others. 6. Acquires knowledge and skills relative to the role, patient population, clinical specialty and local and/or global health community needs. 7. Participates in shared decision making through specialty practice councils, nursing department committees and unit initiatives. 8. Serves as a professional role model and preceptor for new staff and students. 9. Advances as a clinical leader through acting in the charge role, as a patient throughput facilitator and resource person for the unit/clinical service area. 10. Articulates the values of research and evidence-based practice and its application to nursing practice and the environment of care. 11. Contributes to the profession of nursing through participation in professional organizations. Qualifications NYS RN with BSN, ACLS, BCLS and PALS. At least 1 yr acute care nursing exp required. Critical care and/or ED exp desired. Procedural Radiology exp preferred. Collective bargaining unit: NYSNA-MSH Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $64.8517 - $64.8517 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
RN Psych Full-time
Bon Secours Mercy Health

Registered Nurse (RN) - Behavioral Health - Maryview Medical Center

Bon Secours Mercy Health Portsmouth, VA
$34.33 - $54.93 / hour
Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 36 Work Shift: Days (United States of America) **Experienced RN's are eligible for a $25,000.00 sign on bonus** Join a mission-driven care team transforming lives through compassionate, evidence-based behavioral health and recovery treatment. This role is ideal for a clinician passionate about substance use disorder recovery, detox treatment, and whole-person mental health care. You’ll work in a highly collaborative environment alongside providers, therapists, and case managers to support patients through every stage of recovery using therapeutic communication, clinical expertise, and relationship-centered care. If you thrive in interdisciplinary settings, value meaningful patient connection, and want to make a measurable impact in mental health healing and long-term recovery outcomes, this is an opportunity to do deeply rewarding work with a dedicated team. Summary of Primary Function/General Purpose of Position The Behavioral Health Registered Nurse (RN) functions as a care provider of a multidisciplinary care team responsible for the delivery of comprehensive patient care utilizing the nursing process of assessment, planning, intervention, implementation and evaluation through evidence-based practices, policies, procedures, guidelines of the organization, and within the State’s Nurse Practice Act. The RN provides a safe and therapeutic environment for patients by managing the milieu and ensures patient care is delivered in an individualized manner, expressing dignity and respect for each patient. The RN collaborates with providers and treatment team members to ensure the achievement of desired patient outcomes. Essential Job Functions In collaboration with members of interdisciplinary teams, establishes goals and strategies for meeting the discharge or continuing care needs with the patient. Collects and records nursing assessment of the physical and behavioral health status of the patient. Effectively communicates assessment information, the nursing component, and all modifications of the plan of care to appropriate members of the treatment team and interdisciplinary team. Applies effective interviewing skills to elicit information from patient and/or family/significant other that is necessary to plan and implement the treatment plan. Develops, maintains, or modifies the individualized treatment plan of care. Executes the treatment plan as developed by the provider and interdisciplinary team members. Continuously evaluates the patient’s response to the nursing interventions, quality of patient care and care environment to ensure optimal patient outcomes are met. Participates in the safe management of the milieu, intervening effectively with patients who are having coping difficulty, utilizing therapeutic prevention/intervention techniques. Acts as the patient advocate. BSMH nurses are expected to practice and deliver care in accordance with the core concepts and intention of the BSMH Nursing Professional Practice Model. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification Current RN License in the state in which they are working or covered by compact (required) BLS Basic Life Support (preferred upon hire, must obtain from approved source prior to direct patient care; ACLS Advanced Cardiac Life Support acceptable in lieu of BLS) Education Bachelor of Science Nursing (preferred) Work Experience 1 year of RN experience (required) Recent Behavioral Health experience (preferred) Training De-Escalation Training (preferred) EPIC Electronic Health Record (EHR) Training (preferred) Skills Assigns patient care according to the nursing skill, knowledge, and scope of practice of staff. Orients, facilitates learning experience, and provides education (based upon quality improvement indicators, outcomes, and implementation) to nursing staff and others. Possesses clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with the current standards of practice, policy and procedure, and BSMH mission. Performs comprehensive assessment of patient's clinical condition and psychosocial needs of the patient and their supportive resources. Safely and efficiently develops, implements, and prioritizes plan of care. Application of the nursing process in patient care delivery. Assesses patient's physical and emotional responses to treatment to evaluate effectiveness of intervention and patient outcomes; revises plan of care accordingly. Assists patient and family in coping with patient's illness. Collaborates with others in the delivery of coordinated patient care. Strong interpersonal and verbal/written communication skills. • Applies cultural diversity and inclusion principles when caring for patients and their support resources. Recognizes own limitations and seeks assistance and acquires information to perform safely. Advances personal and professional growth through participation in educational programs, current literature, in-services, and workshops. Exhibits professionalism through accountability for own and delegated actions. Integrates cost-effective measures into practice and models effective stewardship of available resources. Practices self-care and cultivates resilience in conflict and difficult circumstances. Protects the safety and privacy of all persons. Understanding and utilization of office and clinical technologies. Ability to communicate with patients in a manner they can understand considering their personal preferences. Compassionate, relationship-based approach to help find meaning in illness, suffering, pain, and existence. Remains calm, adaptive, and collective during an emergency. De-escalation Empathy Knowledge of Psychology, Mental Health, and Behavioral Health Ability to set clear boundaries Working Conditions Periods of high stress and fluctuating workloads may occur May be exposed to physical altercations and verbal abuse May be required to use physical restraints May be exposed to high noise levels and bright lights May be exposed to limited hazardous substances or body fluids* May be exposed to human blood and other potentially infectious materials* May have periods of constant interruptions General office environment *Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control. Physical Requirements Lifting/Carrying (0-50 lbs.): 34-66% Lifting/Carrying (50-100 lbs.) 34-66% Push/Pull (0-50 lbs.) 34-66% Push/Pull (50-100 lbs.) 34-66% Stoop/Kneel 1-33% Crawling 1-33% Climbing 1-33% Balance 1-33% Bending 34-66% Sitting 34-66% Walking 34-66% Standing 34-66% Additional Physical Requirements/Hazards Manual dexterity (eye/hand coordination) Perform shift work Maneuver weight of patients Hear alarms/telephone/tape recorder Reach above shoulder Repetitive arm/hand movements Finger Dexterity Color Vision Acuity - far Acuity - near Depth perception Use of Latex Gloves Exposure to toxic/caustic/chemicals/detergents Exposure to moving mechanical parts Exposure to dust/fumes Exposure to potential electrical shock Exposure to x ray/electromagnetic energy Exposure to high pitched noises Gaseous risk exposure Patient Population Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Adolescents (13-17 years) Adults (18-64 years) Geriatrics (65 years and older) Bon Secours About Us As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Registered Nurse (RN) – Psychiatric –Maryview Medical Center Job Summary: The Psychiatric Registered Nurse (RN) position is responsible for delivering exceptional nursing care to patients by: Utilizing strong organizational and leadership skills to assess patient status Implementing clinical nursing interventions Having a highly diverse medical skillset Developing and performing patient care plans to enhance and improve outcomes Ensuring a safe and therapeutic environment Essential Functions: Provide direct patient care according to the provider’s prescribed plan of care (and nursing scope of practice) while closely monitoring progress/recovery Assess and documents the patient’s conditions and report changes as needed Administer medication, insulin, and IV/fluids, documenting thoroughly Inspect and care for wounds, changing dressings and assisting with personal hygiene Applies effective interviewing skills to elicit information from patient and/or family/significant other that is necessary to plan and implement the treatment plan Assess patient for further injuries, infections, bedsores, etc. and deliver appropriate treatments Collaborate with providers, aides, and allied health professionals to ensure exceptional patient outcomes Other duties as assigned Education: Bachelor of Science Nursing (preferred) Certifications: Current state licensure (or covered compact licensure) as a Registered Nurse (RN) BLS Basic Life Support (preferred upon hire, must obtain from approved source prior to direct patient care; ACLS Advanced Cardiac Life Support acceptable in lieu of BLS) Experience: One (1) year of professional experience practicing as a Registered Nurse (RN) Recent Behavioral Health experience (preferred, not required) Training: EPIC Electronic Health Record training (preferred, not required) De-Escalation Training (preferred, not required) Range: Minimum: $34.33 Maximum: $54.93 Bon Secours is an equal opportunity employer. As a Bon Secours associate, you’re part of a Mission that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Adult Psychiatric Unit - Maryview It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health– Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com .
RN New Grad PCU Full-time
SSM Health

Graduate Nurse Stepdown

SSM Health St. Louis, MO
It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Stepdown - SSM Health St. Louis University Hospital – St. Louis, MO Schedule: Full time, 7a-7p varying nights with every 3rd weekend, holiday requirement, no on call requirement Eligibility: • Graduate of an accredited nursing program • Eligible to practice as determined by State Board of Nursing • Less than one year of experience working as an RN Being a nurse is more than a job, it’s a calling. That is why SSM Health wants to invest in your future. As a new graduate nurse hired with SSM Health, you will participate in the SSM Health Nurse Residency Program. This will allow you to connect and learn from other graduate nurses across the system as you work to enhance your confidence, knowledge, and practical skill. The residency program is designed to complement your education and support your continued professional growth. Join our team and make a difference every day while enjoying competitive pay, great benefits, and a supportive work environment. We offer competitive, affordable health insurance and benefits designed to support you and your family. Fulfill your calling with SSM Health — apply today! Job Summary: Pre-licensure graduate of an accredited nursing program who actively participates in SSM Health Saint Louis University Hospital New Graduate Nurse Residency Program. Under the direction of RN, provides care to patients within scope of role and professional standards. Responsible for the delivery of age appropriate care for assigned patients with a wide variety of medical conditions. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: Under the direction of the RN Preceptor: 1) Performs comprehensive nursing assessment/reassessment. Criteria A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post-op/post-invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. 2) Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Criteria A)Identifies short and long term goals based on patient care needs. B)Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation 3)Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Provides patient/family education and discharge planning per documentation guidelines and protocol. H) Clarifies all physician orders as warranted. I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. K) Documents "Readback" for all telephone / verbal orders. L) Takes telephone / verbal orders only in emergency situations. M) Recognizes changes in patient's condition and takes appropriate nursing actions. N) Involves the family/guardian when providing care and in decision-making as appropriate. O) Recognizes risks for patient and takes appropriate action. P) Incorporates use of Infection Control practices in daily care. 4) Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient/family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application 2.Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient's response throughout the restraint period at the appropriate intervals. 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis. 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation. 6. Documents restraint use and associated care thoroughly. B) Pain Management 1. Assess patient for presence of pain on admission and during assessments/reassessments. 2. Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing a pain management plan. 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work. 3. Takes appropriate action to support patient safety when signs of abuse are noted. 6) Demonstrates accountability for own professional practice. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. 1. Participates in learning experiences that increases professional competence. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 1. Attends staff meetings/reviews minutes when absent 2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role 3. Reviews Hospital/Nursing publications 4. Keeps up to date with policies and procedures 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback. D) Demonstrates ability to change and adapt to changing work demands 1. Responds positively to change 2. Provides assistance and support to peers, co-workers and other team members 3.Adapts positively to changes in unplanned work load and job demands 7) Ability to relate to coworkers in a professional and appropriate manner. Criteria A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8) Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/ families/employees in accordance to hospital standards. 1. Maintains clutter free environment. 2. Follows hand hygiene procedures. 3. Utilizes Safe Patient Handling techniques and equipment. 4. Keeps personal conversations/background noise to a minimum. 5. Adheres to dress code. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: 1. Maintains current license and certifications 2. Maintain up to date BLS and HI 3. Annual TB Screening and Influenza vaccination 4. Annual Ethics Training (Initial Ethics, if new employee) 5. Annual Safety Training 6. Required Information Security course 7. Required Abuse & Neglect course 8. Annual Blood Borne Pathogens training (if required) 9. Coursework as assigned for .edu 10. Annual competency 11. Age/Population specific competency (if applicable) 12. orientation competency (if new hire) 13. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. F) Work in a constant state of alertness and safe manner. 9) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. Criteria A)Demonstrates care and courtesy 1. Provides prompt, respectful, courteous service. 2. Meets physical, spiritual, psychological and emotional needs of patients and families. 3.Works with other members of the health care team to see that call lights are answered promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality 1. Listens to staff/patient/family concerns and addresses needs. 2. Explains procedures and all education in a manner that staff/patient/ family understand. 3. Allows time for questions. C) Demonstrates competence and collaboration 1. Provides accurate handoff reports. 2. Provides quality care in accordance to standards. 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services 1. Uses resources wisely. 2. Recommends changes in practice that increases efficiency and minimizes waste. E) Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit". 10) Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing unit goals. B) Remains current with evidenced based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. 1. Assists in developing unit based Performance Improvement and action plans. 2. Leads a performance improvement team when requested 3. Contributes to data collection 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews H) Contributes to the maintenance/improvement of all nursing quality indicators. 11) Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B)Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E)Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 12) Cost Effective Services Criteria A) Uses resources efficiently. B) Recommends change in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .edu, mandatory education requirements. DISCLAIMER: Performs other related duties as assigned or requested. Job Specifications MINIMUM EDUCATION: RN licensure in the State of Missouri, or new graduate of accredited school of nursing and must obtain licensure within 6 months of graduation. WORKING CONDITIONS: May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) • Or • FUTURE - Basic Life Support Healthcare Provider (BLS HCP) within 90 days - American Heart Association (AHA) • And • FUTURE - Registered Professional Nurse (RN) within 3 months of Official NCLEX Pass Date - Illinois Department of Financial and Professional Regulation (IDFPR) • And • Official NCLEX Pass Letter - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri and Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) • Or • FUTURE - Basic Life Support Healthcare Provider (BLS HCP) within 90 days - American Heart Association (AHA) • And • FUTURE - NCLEX results for Registered Nurses must be provided within three months of the graduation date - Pearson VUE • And • FUTURE - NCLEX test date within 30 days - Pearson VUE State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) • Or • FUTURE - Basic Life Support Healthcare Provider (BLS HCP) within 90 days - American Heart Association (AHA) • And • FUTURE - Status of Fail on The National Council Licensure Examination for Registered Nurses within 3 months of graduation date - Pearson VUE • And • FUTURE - NCLEX test date within 30 days - Pearson VUE • And WI Nursing Temporary Permit - State of Wisconsin Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date_____________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that . . .) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will . . .) Achieve Excellence in Infection Control By: Isolating per policy Consistently adhering to proper infection control practices and I will educate patients and visitors of the same. Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures. Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc. Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy. Vaccinate per policy. Notify my supervisor if I see anyone or anything that puts my patient at risk. Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. ​ Achieve Excellence in Nursing Practice By: Contributing in a positive way to the functioning of the patient care team. Taking an active role in practice development through participation in unit based and hospital committees. Ensuring that documentation of patient care is consistently thorough and legible. Rounding with a purpose on each patient. Modeling practice excellence to new employees. Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. ​ Own and Respect My Environment By: Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.). Maintaining a neat , clean and organized work environment. Keeping the nursing station, bathroom, and break room neat and clean. Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return. If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it. Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will . . .) Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health. Demonstrate my respect to my colleagues and co- condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs. Come to work with a positive attitude. Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary. Be part of the solution not part of the problem. Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch). Follow up on patient concerns every time to the appropriate person. Respond promptly to patient requests. Always refer to physicians as Dr. ____. Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . . ) ​ Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non- vernal means that I am here to help. (Service) Expectations (So I will . . .) Introduce myself to all my patients and family members. Take time to tell them what to expect and keep them informed. Answer lights promptly to meet a patient's needs and prevent patient falls. Respect the patient's privacy and modesty - close curtains, cover patient, reduce traffic in patient's room during procedures. Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family. Be compassionate and empathetic to their concerns at all times. ​ The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. Staff Signature __________________________________________ Print Name ___________________________________________ Date _______________ Manager Signature _________________________________________ Print Name _________________________________________ Date ______________ 2/16/09 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) • Or • FUTURE - Basic Life Support Healthcare Provider (BLS HCP) within 90 days - American Heart Association (AHA) • And • FUTURE - Registered Professional Nurse (RN) within 3 months of Official NCLEX Pass Date - Illinois Department of Financial and Professional Regulation (IDFPR) • And • Official NCLEX Pass Letter - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri and Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) • Or • FUTURE - Basic Life Support Healthcare Provider (BLS HCP) within 90 days - American Heart Association (AHA) • And • FUTURE - Status of Fail on The National Council Licensure Examination for Registered Nurses within 3 months of graduation date - Pearson VUE • And • FUTURE - NCLEX test date within 30 days - Pearson VUE State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) • Or • FUTURE - Basic Life Support Healthcare Provider (BLS HCP) within 90 days - American Heart Association (AHA) • And • FUTURE - Status of Fail on The National Council Licensure Examination for Registered Nurses within 3 months of graduation date - Pearson VUE • And • FUTURE - NCLEX test date within 30 days - Pearson VUE • And WI Nursing Temporary Permit - State of Wisconsin Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1001000037 Prog - 6S Scheduled Weekly Hours: 36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.
RN CNO Director of Nursing Psych Full-time
Summit BHC

Director of Nursing

Summit BHC Harlingen, TX
Director of Nursing | Palms Behavioral Health | Harlingen, Texas About the Job: PURPOSE STATEMENT: The Director of Nursing is responsible and accountable for providing professional nursing care to patients. Directs, plans, coordinates, monitors and supervises the effective and efficient use of the operations of nursing and the safe delivery of behavioral health/nursing services with a positive, empathetic, and professional attitude. Ensures the development, implementation, and evaluation of policies, programs, and services consistent with the facility’s strategic goals and objectives. Roles and Responsibilities: ESSENTIAL FUNCTIONS: Sets the vision for nursing practice in the delivery of safe, timely, efficient, equitable and client centered care. Manages the daily operations of nursing services. Identifies and prioritizes issues of importance, including those priority issues as set for by leadership. Collaborates with department leaders and corporate leaders, as needed. Communicates instructions, expectations and timelines clearly and concisely. Develops, maintains and implements nursing services, policies and procedures that conform to current standards of nursing practice and accrediting agencies, facility philosophy and operational policies while maintaining compliance with state, federal and local governmental agencies laws and regulations. Develops and interprets operational indicators to detect census and acuity changes and increases or decreases in volume that could impact staffing levels, revenues or expenses. Acts to correct undesirable trends. Allocates nursing resources based on measurement of client acuity/care needed. Leads a team of highly qualified and engaged department members thru hiring, orienting, performance assessment and management, motivating, training, scheduling, and coaching to meet department and facility goals. Ensures adequate staffing. Maintains productivity levels that are aligned with client census, curtailing unnecessary overtime and/or excessive staff work hours. Manages staff scheduling and maintains an updated plan for contingency staffing. Maintains accountability expectations for self and staff in all areas of job performance. Engages staff in quality and safety basics to ensure sustained, measurable compliance. Identifies staff educational needs and ensures they are addressed with education programs that are attended by staff. Hold staff accountable for non-compliance and client safety concerns, as well as attendance, following policies, behavior, and adherence to code of conduct. Oversees medication management for the facility. Orders and maintains adequate inventory of medication. Ensures compliance with medication management standards and record keeping. Implements corrective actions based on pharmacy consultant inspection of medication rooms and medication management processes. Reviews and reconciles medication reports in collaboration with the pharmacy vendor. Audits and organizes medication room to maintain compliance with regulatory requirements, best practices, and reduce the opportunity for medication errors or diversion. Makes nursing diagnosis of the medical and emotional status of clients and recommends treatment options. Consults with psychiatrists and other behavioral health staff in designing appropriate treatment plans for clients. Provides overall supervision of client assessments and care plans. Coordinates nursing services with all other departments. Participates in daily or weekly management team meetings to discuss client’s status, identify indicators for reassessment of client’s condition, reaction/responsiveness and involvement of other disciplines. Discusses census changes, client or staff complaints or concerns. Establishes, implements and monitors the infection control program and safety. Prepares or reviews infection control surveillance reports to identify trends and to develop effective actions to control and prevent infections. Collaborates with interdisciplinary treatment teams, other departments and administration to ensure that all client’s physical, biopsychosocial, age, developmental and cultural needs are met. Develops and implements health care related training that assures the best possible delivery of health-related supports and services. Assists the Chief Executive Officer (CEO) in the preparation and administration of the organization's budget. Manages budget and operates within approved budget while providing excellent quality of care. Actively participate in strategic planning and budget development. Maintains adequate and appropriate inventory of supplies and equipment for the provision of client services. Oversees the maintenance of client clinical records, statistics, reports and records for purposes of evaluation and reporting of organization activities. Stays informed about changes in the field of nursing and behavioral health care and uses information to stay compliant and improve performance. Assists CEO in preparing staff for inspection survey. Participates in the preparation and implementation of the Plan of Correction response to an inspection survey. Monitors unit/floor functioning by making frequent rounds. Intervenes in crisis situations and investigates incidents. Analyzes, reviews and completes follow up on incident reports related to nursing/client safety issues in conjunction with Risk Management. May be required to provide onsite coverage for other programs when needed, develops, and executes new programs according to market needs and may provide training, case consultation and Administrator On Call coverage during and after program hours as needed. Performs Leadership Rounds as assigned to include observation and immediate identification of environment of care, safety, and infection control concerns, as well as real time education of new facility processes. Assists with direct care as needed. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Bachelor of Science in Nursing degree from an accredited school of nursing required. Master’s degree in psychiatric or mental health nursing preferred. If not MSN, you must enter into a nursing consultation agreement with a master’s level nurse for supervision per state requirement. Three or more years’ experience in nursing practice required. One or more years’ psychiatric or behavioral health experience required. Skills in assessment, considerable knowledge of nursing principles and practice, staffing, budgeting, employee management, regulatory requirements and documentation of care; ability to meet regulatory requirements. LICENSES/DESIGNATIONS/CERTIFICATIONS: Valid current RN license from the state or from a compact state, where applicable. Certified in Psychiatric Nursing preferred. CPR and de-escalation and restraint certification required (training available upon hire and offered by facility). First aid may be required based on state or facility. SUPERVISORY REQUIREMENTS: Two or more years progressive managerial experience required. ESSENTIAL FUNCTIONS: Sets the vision for nursing practice in the delivery of safe, timely, efficient, equitable and patient centered care. Manages the daily operations of nursing services. Identifies and prioritizes issues of importance, including those priority issues as set for by leadership. Collaborates with department leaders and corporate leaders, as needed. Communicates instructions, expectations and timelines clearly and concisely. Develops, maintains and implements nursing services, policies and procedures that conform to current standards of nursing practice and accrediting agencies, facility philosophy and operational policies while maintaining compliance with state, federal and local governmental agencies laws and regulations. Develops and interprets operational indicators to detect census and acuity changes and increases or decreases in volume that could impact staffing levels, revenues or expenses. Acts to correct undesirable trends. Allocates nursing resources based on measurement of patient acuity/care needed. Leads a team of highly qualified and engaged department members thru hiring, orienting, performance assessment and management, motivating, training, scheduling, and coaching to meet department and facility goals. Ensures adequate staffing. Manages staff scheduling and maintains an updated plan for contingency staffing. Maintains accountability expectations for and staff in all areas of job performance. Engages staff in quality and safety basics to ensure sustained, measurable compliance. Identifies staff educational needs and ensures they are addressed with education programs that are attended by staff. Hold staff accountable for non-compliance and patient safety concerns, as well as attendance, following policies, behavior, and adherence to code of conduct. Oversees medication management for the facility. Orders and maintains adequate inventory of medication. Ensures compliance with medication management standards and record keeping. Implements corrective actions based on pharmacy consultant inspection of medication rooms and medication management processes. Reviews and reconciles medication reports in collaboration with the pharmacy vendor. Audits and organizes medication room to maintain compliance with regulatory requirements, best practices, and reduce the opportunity for medication errors or diversion. Makes nursing diagnosis of the medical and emotional status of patients and recommends treatment options. Consults with psychiatrists and other behavioral health staff in designing appropriate treatment plans for patients. Provides overall supervision of patient assessments and care plans. Coordinates nursing services with all other departments. Participates in daily or weekly management team meetings to discuss patient’s status, identify indicators for reassessment of patient’s condition, reaction/responsiveness and involvement of other disciplines. Discusses census changes, patient or staff complaints or concerns. Establishes, implements and monitors the infection control program and safety. Prepares or reviews infection control surveillance reports to identify trends and to develop effective actions to control and prevent infections. Collaborates with interdisciplinary treatment teams, other departments and administration to ensure that all patient’s physical, biopsychosocial, age, developmental and cultural needs are met. Develops and implements health care related training that assures the best possible delivery of health-related supports and services. Assists the Chief Executive Officer (CEO) in the preparation and administration of the organization's budget. Manages budget and operates within approved budget while providing excellent quality of care. Actively participate in strategic planning and budget development. Maintains adequate and appropriate inventory of supplies and equipment for the provision of patient services. Oversees the maintenance of patient clinical records, statistics, reports and records for purposes of evaluation and reporting of organization activities. Stays informed about changes in the field of nursing and behavioral health care and uses information to stay compliant and improve performance. Assists CEO in preparing staff for inspection survey. Participates in the preparation and implementation of the Plan of Correction response to an inspection survey. Monitors unit/floor functioning by making frequent rounds. Intervenes in crisis situations and investigates incidents. Analyzes, reviews and completes follow up on incident reports related to nursing/patient safety issues in conjunction with Risk Management. May be required to provide onsite coverage for other programs when needed, develops, and executes new programs according to market needs and may provide training, case consultation and Administrator On Call coverage during and after program hours as needed. Performs Leadership Rounds as assigned to include observation and immediate identification of environment of care, safety, and infection control concerns, as well as real time education of new facility processes. Assumes direct case assignment in emergency situations as needed. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Bachelor of Science in Nursing degree from an accredited school of nursing required. Master’s degree in psychiatric or mental health nursing preferred. If not MSN, you must enter into a nursing consultation agreement with a master’s level nurse for supervision per state requirement. Three or more years’ experience in nursing practice required. One or more years’ psychiatric or behavioral health experience required. Skills in assessment, considerable knowledge of nursing principles and practice, staffing, budgeting, employee management, regulatory requirements and documentation of care; ability to meet regulatory requirements. LICENSES/DESIGNATIONS/CERTIFICATIONS: Valid current RN license from the state or from a compact state, where applicable. Certified in Psychiatric Nursing preferred. CPR and de-escalation and restraint certification required (training available upon hire and offered by facility). First aid may be required based on state or facility. WORK LOCATION: This position is onsite at the facility and is not a remote position. SUPERVISORY REQUIREMENTS: Two or more years progressive managerial experience required. Why Palms Behavioral Health?Palms Behavioral Health offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Palms Behavioral Health is an EOE. Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.
NP Outpatient Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Surgery Kidney

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$93.75 - $114.84 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P145951-3151 Job Description This is a Fixed Term position Department Description The APP is responsible for management of outpatient kidney transplant patients with the multidisciplinary team. Provides direct patient care, evaluation and medical management, development of assessment and plans for patients in outpatient kidney transplant clinic. Completes the documentation and serves as the primary provider for patients seen via telemedicine, in person clinic, and outreach clinics. Receives phone calls from patients and patient families and triages and escalates patient care alongside the physician staff. Participates in discharge planning and care coordination for transition of patient from inpatient to outpatient care. Completes lab review, medication management, immunosuppression management, and medical assessment of outpatient kidney transplant patients in person or over the phone. The APP is responsible for continuity of care and interfacing with other service lines for consultation when appropriate. The APP is responsible for assisting in transition of care from outpatient to inpatient hospital admissions for kidney transplant patients and working with the inpatient Transplant Nephrology team to transition patient care from inpatient to outpatient. The APP works with other members of the multidisciplinary team including Physicians, Fellow, Residents, Social Work, Case Management, Nursing Staff, Pharmacy, Dietician, and other service line providers. Assists with transition of care from inpatient to outpatient provider teams at time of discharge. The APP is expected to participate in patient care conferences, pathology conferences, radiology conferences, and departmental education as well as selection meetings. Works collaboratively with other APPs on kidney transplant service to provide patient care coverage. Actively communicates with other APPs on the kidney transplant service, attending staff, support staff and resident/fellow staff. Provides education regarding kidney transplantation to nursing staff, students, residents. JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
LPN Part-time
PACS

PART TIME LPN 7p-7a

PACS Centerville, OH
General Purpose The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing Services or Nurse Supervisor to ensure that the highest degree of quality care is maintained at all times. Essential Duties Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions • Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility. • Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. • Periodically review the department’s policies, procedure manuals, job descriptions, etc. Make recommendations for revisions. • Meet with your assigned nursing staff, as well as support personnel, in planning the shifts’ services, programs, and activities. • Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility. • Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. • Make written and oral reports/recommendations concerning the activities of your shift as required. • Cooperate with other resident services when coordinating nursing services to ensure that the resident’s total regimen of care is maintained. • Ensure that all nursing service personnel are in compliance with their respective job descriptions. • Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing service department. • Participate in facility surveys (inspections) made by authorized government agencies as may be requested. • Periodically review the resident’s written discharge plan. Participate in the updating of the resident’s written discharge plan as required. • Assist in planning the nursing services portion of the resident’s discharge plan as necessary. • Interpret the department’s policies and procedures to personnel, residents, visitors, and government agencies as required. • Admit, transfer, and discharge residents as required. • Complete accident/incident reports as necessary. • Write resident charge slips and forward to the Business Office. • Maintain the Daily Census Report and submit to the Business Office as required. • Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. • Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. • Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator. • Report any known or suspected unauthorized attempt to access facility’s information system. Charting and Documentation • Complete and file required recordkeeping forms/charts upon the resident’s admission, transfer, and/or discharge. • Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. • Receive telephone orders from physicians and record on the Physicians’ Order Form. • Transcribe physician’s orders to resident charts, cardex, medication cards, treatment/care plans, as required. • Chart nurses’ notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident’s response to the care. • Fill out and complete accident/incident reports. Submit to Director as required. • Chart all reports of accidents/incidents involving residents. Follow established procedures. • Record new/changed diet orders. Forward information to the Food Services Department. • Report all discrepancies noted concerning physician’s orders, diet change, charting error, etc., to the Nurse Supervisor. • Fill out and complete transfer forms in accordance with established procedures. • Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident’s medical record in accordance with established procedures. • Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures. • Sign and date all entries made in the resident’s medical record. Drug Administration Functions • Prepare and administer medications as ordered by the physician. • Verify the identity of the resident before administering the medication/treatment. • Ensure that prescribed medication for one resident is not administered to another. • Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor. • Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies. • Ensure that narcotic records are accurate for your shift. • Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift. • Review medication cards for completeness of information, accuracy in the transcription of the physician’s order, and adherence to stop order policies. • Notify the attending physician of automatic stop orders prior to the last dosage being administered. • Dispose of drugs and narcotics as required, and in accordance with established procedures. Personnel Functions • Participate in employee performance evaluations, determining your shift’s staffing requirements, and making recommendations to the Nurse Supervisor concerning employee dismissals, transfers, etc. • Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work. • Report absentee call-ins to the Nurse Supervisor. • Review and evaluate your department’s work force and make recommendations to the Nurse Supervisor. • Develop work assignments and/or assist in completing and performing such assignments. • Provide leadership to nursing personnel assigned to your unit/shift. • Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Nurse Supervisor. • Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. • Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. • Meet with your shift’s nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services. • Ensure that department personnel, residents, and visitors follow the department’s established policies and procedures at all times. • Develop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. • Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. • Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor as required or as may be necessary. Follow facility’s established procedures. • Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. • Receive/give the nursing report upon reporting in and ending shift duty hours. • Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures governing accidents and incidents. • Report known or suspected incidents of fraud to the Administrator. • Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. Nursing Care Functions • Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc. • Ensure that rooms are ready for new admissions. • Greet newly admitted residents upon admission. Escort them to their rooms as necessary. • Participate in the orientation of new residents/family members to the facility. • Make rounds with physicians as necessary. • Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures. • Consult with the resident’s physician in providing the resident’s care, treatment, rehabilitation, etc., as necessary. • Review the resident’s chart for specific treatments, medication orders, diets, etc., as necessary. • Implement and maintain established nursing objectives and standards. • Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident’s physical and emotional status. • Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. • Cooperate with and coordinate social and activity programs with nursing service schedules. • Notify the resident’s attending physician when the resident is involved in an accident or incident. • Notify the resident’s attending physician and next-of-kin when there is a change in the resident’s condition. • Carry out restorative and rehabilitative programs, to include self-help and care. • Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. • Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required. • Use restraints when necessary and in accordance with established policies and procedures. • Obtain sputum, urine and other specimens for lab tests as ordered • Take and record TPRs, blood pressures, etc., as necessary. • Monitor seriously ill residents as necessary. • Check foods brought into the facility by the resident’s family/visitors to ensure that it is within the resident’s dietary allowances. Report problem areas to the Nurse Supervisor and Dietary Supervisor. • Ensure that personnel providing direct care to residents are providing such care in accordance with the resident’s care plan and wishes. • Ensure that residents who are unable to call for help are checked frequently. • Meet with residents, and/or family members, as necessary. Report problem areas to the Nurse Supervisor • Admit, transfer and discharge residents as necessary. • Assist in arranging transportation for discharged residents as necessary. • Ensure that discharged residents are escorted to the pick-up area. • Inform family members of the death of the resident. • Call funeral homes when requested by the family. Ensure that established post-mortem procedures are followed. Staff Development • Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on “how to do the job,” and ensure a well-educated nursing service department. • Implement and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties. • Assist in standardizing the methods in which work will be accomplished. • Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids. • Assist the Director in planning clinical supervision for nurse aide trainees. • Attend and participate in outside training programs. • Attend and participate in annual facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). • Attend and participate in advance directive in-service training programs for the staff and community. • Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Safety and Sanitation • Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies. • Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel. • Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. • Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. • Ensure that an adequate supply of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids. • Ensure that your assigned work areas (i.e., nurses’ stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. • Ensure that your unit’s resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. • Ensure that your assigned personnel follow established handwashing and hand hygiene technique in the administering of nursing care procedures. • Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. • Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. • Ensure that your assigned personnel follow established infection control procedures when isolation precautions become necessary. • Ensure that nursing personnel follow established procedures in the use and disposal of personal protective equipment. • Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. • Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. • Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions • Recommend to the Nurse Supervisor the equipment and supply needs of your unit/shift. • Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on your unit/shift at all times to meet the needs of the residents. • Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. • Ensure that only trained and authorized personnel operate your unit/shift’s equipment. • Ensure that all personnel operate nursing service equipment in a safe manner. • Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. • Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department. Care Plan and Assessment Functions • Review care plans daily to ensure that appropriate care is being rendered. • Inform the Nurse Supervisor of any changes that need to be made on the care plan. • Ensure that your nurses’ notes reflect that the care plan is being followed when administering nursing care or treatment. • Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. • Ensure that your assigned certified nursing assistants (CNAs) are aware of the resident care plans. Ensure that the CNAs refer to the resident’s care plan prior to administering daily care to the resident. • Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Budget and Planning Functions • Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Miscellaneous • Provide data to the Quality Assurance & Assessment Committee as requested. Supervisory Requirements As LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program. Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Must be able to relate information concerning a resident’s condition. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must demonstrate knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must not pose a direct threat to the health or safety of other individuals in the workplace. Certificates, Licenses, Registrations Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses’ stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department directors. Works beyond normal working hours, and in other positions temporarily, when necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents’ needs. Additional Information Note: Nothing in this job specification restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position. We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.
NP Pediatric Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Pediatric Cardiothoracic Surgery - Sutter Sacramento

Lucile Packard Children's Hospital Stanford Sacramento, CA
$87.55 - $109.44 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P137349-2656572 Job Description Role Description Position is located at Sutter Medical Center, Sacramento in the Pediatric Cardiothoracic Surgery program (160-180 cases per year). We are satellite program of Stanford Medicine Children's Health (SMCH) and have additional surgeon support from SMCH for our most complex operations. At Sutter Medical Center, we currently have two Pediatric Cardiothoracic Surgeons and one Physician Assistant that work with a team of PICU intensivists, Pediatric cardiologists, and Pediatric Cardiac Anesthesiologists to take care of both complex cardiac patients, such as babies with Hypoplastic Left Heart Syndrome, and less complex patients, such as patients with atrial or ventricular septal defects. We also work with our Adult Congenital Heart Disease Program to care for adult patients when they need additional surgery. Duties include consults in conjugation with the surgeons, intraoperative first and second assist, post-operative surgical rounding, and post operative outpatient appointments. We also run a small chest wall program that requires bracing of children with pectus carinatum or surgical intervention for children with pectus excavatum. We have a strong, dynamic program that takes pride in the care we provide for the community of Sacramento and beyond. Preferred qualification: 1+years of APP experience in either ICU or OR setting. JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $87.55 to $109.44 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
Caregiver Home Health Full-time
Helping Hearts USA LLC

Caregiver Days

Helping Hearts USA LLC Nashville, TN
Join the Helping Hearts Team and Make a Difference Today! Day-Shift Caregivers Needed Schedule: Day shifts ranging from 4 to 12 hours Employment Opportunities: Full-time and part-time Weekend Availability: May be required depending on client needs Helping Hearts USA LLC is growing, and we are seeking compassionate, dependable and experienced caregivers to join our team. Available daytime shifts range from 4 to 12 hours. Shift lengths, start times, end times and available days vary according to each client’s care plan, personal preferences and scheduling needs. Applicants must provide their complete daytime availability so they can be considered for appropriate assignments. Once a caregiver accepts a permanent or temporary assignment, they must be able to work the complete scheduled shift consistently. Important Pre-Interview Document Requirement Applicants must possess and present physical copies of all required employment documents during the pre-interview document-verification process. Applicants who do not have the required physical documents available will not be able to move forward in the interview and hiring process. Digital screenshots, photographs or informal copies will not be accepted in place of required physical documents during formal verification. For privacy and identity protection, applicants should not text or email photographs of their Social Security card, birth certificate or other sensitive identity documents. These documents must be presented through the secure verification process directed by Helping Hearts. Client-Care Levels Helping Hearts supports clients with different levels of need. Assignments are matched according to the caregiver’s experience, skills, availability, location and ability to safely complete the care plan. Companionship and Household Support Some clients may primarily need: Meaningful conversation and companionship Social engagement and recreational activities Meal preparation and cleanup Grocery organization and errands Light housekeeping Laundry and linen changes Organization of the client’s immediate living space Medication reminders Transportation to approved appointments and activities Safety observation and general supervision Personal Care and Activities of Daily Living Other clients may require hands-on assistance with: Bathing or showering Sponge baths and personal hygiene Dressing and undressing Grooming, hair care and oral care Toileting and incontinence care Changing protective undergarments Meal assistance and hydration reminders Walking and mobility assistance Wheelchair support Entering and exiting vehicles Repositioning and comfort measures Maintaining dignity, privacy and independence during personal care Dementia and Memory-Care Support Some assignments may involve clients living with dementia, Alzheimer’s disease or other cognitive conditions. Responsibilities may include: Providing calm and consistent supervision Offering appropriate redirection and reassurance Supporting established routines Monitoring for confusion, agitation, wandering or changes in behavior Encouraging safe and appropriate activities Maintaining a quiet, respectful and supportive environment Following client-specific communication and safety strategies Immediately reporting significant behavioral or cognitive changes Caregivers assigned to dementia or memory-care clients must remain patient, attentive and aware of the client’s location and safety throughout the entire shift. Mobility, Transfer and Higher-Assistance Support Some clients may have limited mobility, be at high risk for falls or require significant physical assistance. Depending on the care plan and caregiver training, responsibilities may include: Assisting with walking and balance Supporting wheelchair mobility Assisting with bed mobility and repositioning Helping clients move between the bed, wheelchair, chair, commode or toilet Using an approved gait belt when directed Assisting with sit-to-stand or stand-to-sit transfers Using a mechanical or Hoyer lift only after required training and authorization Following all one-person or two-person transfer requirements Requesting assistance when a transfer cannot be completed safely Caregivers must never attempt an unsafe transfer or use equipment they have not been trained and authorized to operate. Non-Medical Health Support Depending on the assignment, caregivers may also be responsible for: Providing medication reminders according to the approved care plan Assisting clients with approved blood-glucose monitoring Documenting readings when required Observing food and fluid intake Monitoring for changes in physical, emotional or behavioral condition Reporting falls, injuries, pain, swelling, bruising, redness, skin concerns, confusion or unusual behavior Following established emergency and office-notification procedures Accurately documenting all completed tasks, observations and concerns Helping Hearts provides non-medical personal support. Caregivers must remain within their authorized role and follow the client’s approved care plan. Physical Requirements Applicants must be able to safely perform the essential responsibilities of their accepted assignment, with or without a reasonable accommodation. Physical responsibilities may include: Standing, walking or sitting for extended periods Frequently bending, reaching, turning and twisting Kneeling or squatting when necessary for safe care Using stairs in certain client homes Assisting clients with walking, balance and mobility Pushing or maneuvering a wheelchair Assisting with repositioning in a bed or chair Supporting safe transfers according to the care plan Handling laundry, groceries, household supplies and care equipment Completing light housekeeping throughout the shift Wearing required personal protective equipment Responding promptly during falls, emergencies or changes in condition The physical demands of each assignment may vary. Caregivers must review the requirements before accepting an assignment and disclose any limitation that could prevent them from safely performing the required care. Client Environments Care may be provided in: Private homes Independent-living communities Assisted-living communities Memory-care communities Senior-living facilities Other company-approved settings Applicants should understand that: Some homes may have dogs, cats or other household pets. Some clients require caregivers who are non-smokers. Some client environments may not be completely smoke-free. Applicants must disclose allergies, pet restrictions, smoke sensitivities or other environmental limitations before accepting an assignment. Family members, facility employees or other approved individuals may be present. Approved safety cameras or monitoring equipment may be present. Caregivers must follow all facility, household, confidentiality and safety requirements. Transportation, parking and travel conditions will vary by location. Caregivers must respect the client’s home, property, privacy and personal preferences. Hours and Assignment Disclaimer Helping Hearts offers day shifts ranging from 4 to 12 hours. Specific hours and assignments depend on: Current client needs The client’s requested schedule The client’s care level The client’s location Caregiver experience and qualifications Caregiver availability Transportation and travel distance Client and family preferences Assignment compatibility Changes in the client’s condition or service needs Full-time or part-time status does not guarantee a specific client, assignment, schedule or number of weekly hours. Client schedules may increase, decrease, change or end based on the client’s needs and preferences. Clients and families may request a different caregiver when they believe another caregiver would be a better fit. Caregivers may be considered for additional assignments when their availability, experience and location match current needs. Once a caregiver accepts an assignment, dependable attendance and completion of the entire scheduled shift are required. Employment Qualifications Applicants must: Be at least 18 years old. Possess a high school diploma, GED or equivalent. Have professional caregiving, personal-care, home-care or related experience. Demonstrate compassion, patience, professionalism and dependability. Follow written care plans and office instructions. Communicate professionally with clients, office staff and approved facility personnel. Complete accurate electronic documentation during every shift. Have reliable access to a smartphone. Maintain client confidentiality. Remain attentive and awake throughout every assigned shift. Follow all attendance, call-off, clock-in, clock-out and documentation requirements. Safely perform the physical responsibilities of the accepted assignment. Complete required orientation, training and assignment-specific instruction. CPR and First Aid certification are not listed as pre-interview document requirements for this position. Required Physical Documents Applicants must have physical copies of the following documents available before moving forward in the interview process: Valid current driver’s license Social Security card Birth certificate Proof of high school completion, GED or equivalent Current automobile-insurance documentation Government-issued photo identification, if different from the driver’s license Any additional identity or employment-authorization documentation required for Form I-9 verification Any state-specific or assignment-specific documents requested by Helping Hearts Applicants must bring the original physical documents or acceptable certified copies when instructed. Screenshots or photographs stored on a telephone will not satisfy the physical-document requirement. Form I-9 employment verification will be completed in accordance with federal requirements. Applicants may present any acceptable document or legally permitted combination of documents for Form I-9 purposes. Required Employment Information Applicants must also provide: A current resume A complete five-year employment history Five professional references Current contact information for each professional reference Complete daytime availability Disclosure of any transportation, pet, smoking or physical limitations that could affect assignment eligibility Friends and family members may not be used as professional references. Transportation Requirements Applicants must have: A valid current driver’s license Active automobile insurance Reliable personal transportation An acceptable driving record The ability to travel to assigned client locations The ability to transport clients when required and authorized Caregivers must immediately report any change affecting their driver’s license, automobile insurance, vehicle availability or ability to transport clients safely. Background and Screening Requirements Applicants must: Complete a comprehensive background check covering up to 15 years, where legally permitted. Complete required abuse, neglect and sex-offender registry checks. Complete a pre-employment drug screening when applicable. Participate in random drug screening when required by company policy. Provide favorable and verifiable professional references. Report any criminal charge or legal change that may affect their ability to provide safe care. Have no disqualifying history related to abuse, neglect, exploitation, theft, fraud, violence, weapons or other offenses that would prevent safe employment, subject to applicable laws and individual review. Contingencies and Compliance Employment offers are contingent upon: Completion of the pre-interview document-verification process Presentation and verification of all required physical documents Satisfactory completion of the comprehensive background check Satisfactory completion of applicable registry checks Completion of drug screening when required Verification of the applicant’s driving credentials and automobile insurance Receipt of favorable professional references Verification of employment history Completion of all required orientation and training Compliance with applicable state and federal requirements Applicants who cannot provide the required physical documents or successfully complete the required screenings will not be eligible to move forward in the hiring process. Professional Appearance and Uniform Caregivers must arrive clean, prepared and professionally dressed. The required uniform includes: Solid navy-blue scrubs Closed-toe and closed-heel shoes Clean and professional appearance Hair secured when necessary for safety No strong fragrances Appropriate personal hygiene Why Join Helping Hearts? Full-time and part-time opportunities Day shifts ranging from 4 to 12 hours A variety of client assignments Assignment matching based on experience and availability A supportive and team-focused work environment Orientation and ongoing training Opportunities for professional development The chance to build meaningful client relationships The opportunity to make a genuine difference in the lives of individuals and families How to Apply Submit your resume along with a complete description of your caregiving experience, qualifications and daytime availability. Before applying, please confirm that you possess physical copies of all required documents and can present them during the pre-interview verification process. To apply or learn more, call or text our main hiring number at 615-645-3999 . Helping Hearts USA LLC is an equal opportunity employer. We celebrate diversity and are committed to maintaining an inclusive workplace for all employees. Ready to make a difference? Apply today and become part of the Helping Hearts team!
RN Part-time
SSM Health

Registered Nurse - Specialty Procedure II - Interventional Radiology / Catheterization Laboratory

SSM Health St. Louis, MO
It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: PRN Job Summary: The Registered Nurse (RN) is a professional practitioner who manages and directs nursing care activities in the areas of cath lab and interventional radiology. Must be energetic and highly motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (%of time) Essential Functions: The following are essential job accountabilities and performance criteria. 1) Assessment: Performs comprehensive nursing assessment as the database. (1, 2, 3, 4, 5) 20% Criteria A) Completes assessment of new admission or transfer upon arrival to PACU. B) Accurately performs and documents patient assessments. C) Provides timely ongoing patient reassessment documenting pertinent observations. 2) Planning: Establishes and coordinates a plan of care based on analysis of the initial assessment data, patient diagnosis, and physician orders. (1, 2, 3, 4, 5) 10% Criteria A) Identifies patient care needs. B) Formulates nursing interventions to achieve desired patient outcomes. C) Identifies and initiates individualized care plans. D) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. 3) Implementation: Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient condition. (1, 2, 3, 4, 5, 6, 7, 8) 30% Criteria A) Coordinates, communicates and documents patient care with other disciplines. B) Provides and documents patient education and discharge planning correctly on PACU flow sheet. C) Reviews and initiates physician orders in an accurate and timely manner. D) Recognizes changes in patient's condition, takes appropriate nursing actions. E) Adheres to medication/parenteral therapy administration and documentation per policy guidelines. F) Performs blood-drawing technique to obtain lab specimens including blood cultures. G) Anesthesia and surgical physicians notified of significant changes in patient condition. H) Assist physicians with procedures, examinations, and other processes related to patient care. 4) Evaluation: Documents effectiveness of nursing care and modifies plan of care as patient progresses toward expected outcomes. (1, 2, 3, 4, 5) 10% Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient education including level of understanding. C) Evaluates plan of care and modifies as indicated. D) Evaluates effectiveness of pain medication and then takes appropriate nursing action. 5) Professional/Leadership: Demonstrates accountability for own professional practice. (3, 5) 10% Criteria A) Participates in additional learning experience to increase professional competence including 1. Committee membership 2. Staff meetings 3. Mandatory in-services and other educational programs 4. Evaluation of self and peer performance by identifying strengths and areas for improvement. B) Is at work as scheduled and begins duties promptly at start of shift. C) Functions as a resource person to co-workers, patients/families, medical staff and ancillary personnel. D) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. E) Directs care delivered by Care Partners. F) Adheres to and incorporates all customer service standards in patient care and work practices. 6) Safety/Infection Control: Practices according to safety and infection control policies. (1, 2, 3, 4, 5, 6, 7, 8) 5% Criteria A) Practices universal precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable and therapeutic environment for patients/families/employees in accordance with hospital standards. 1. Maintains clutter free environment. 2. Keeps conversations and background noise to a minimum 3. Adheres to dress code. C) Reports risk management concerns. D) Assumes responsibility for completing all annual mandatory requirements: 1. Safety/Fire 2. Blood Borne Pathogen 3. Hazardous Communication 4. TB 5. Department Specific 6. Age Appropriate Care (for clinical staff only) 7. EMTALA C) Works in a constant state of alertness and safe manner. D) Works in a constant state of alertness and safe manner. 7) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous, and respectful manner. (1, 3, 5, 6) 10% Criteria A) Demonstrates Care and Courtesy 1) Provides prompt, respectful, courteous service. 2) Meets physical, spiritual, psychological and emotional needs of patients and families. 3) Responds to patient needs promptly. 4) Apologizes for mix-ups and delays. B) Communicates Effectively and Maintains Confidentiality 1) Listens to patient/family concerns and addresses needs. 2) Explains procedures and all education in a manner that patient/family understands. 3) Allows time for questions. C) Demonstrates Competence and Collaboration 1) Provides accurate report. 2) Provides quality care in accordance to standards. 3) Shares knowledge with other departments to facilitate work flow and continuity. D) Provides Cost Effective Services 1) Uses resources wisely. 2) Recommends changes in practice that increases efficiency and minimizes waste. 3) Minimizes overtime and utilizes time well. Criteria 8) Quality Improvement (QI): Incorporates Quality Assessment into one’s daily work. (1, 2, 3, 4, 5, 6) 5% Criteria A) Assists in developing unit based PI plan. B) Collects PI data as assigned. C) Participates in discussion of PI outcomes. D) Collaborates in developing and implementing action plans. E) Participates in research activities on the nursing unit. Criteria 9) Age Appropriate Care: Provides age-appropriate care to: ____Infant ____Child __x__ Adolescent __x___ Adult __x___ Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B) Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E) Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 10) Specialized Care: Provides specialized care to patients at high risk for injury. (1, 2, 4, 5)
RN OB/GYN Full-time
Tuba City Regional Healthcare

Clinical Nurse, OB/GYN - Rotational Shift - $10K Sign on

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The Obstetric Clinical Nurse performs a variety of nursing care procedures requiring professional knowledge and consideration of specific patient conditions and treatments, and ability to work independently in completing assignments. Assists physicians and midwives during examinations and procedures. Provides comprehensive, family centered nursing care to mothers and babies during antepartum, intrapartum and postpartum periods. Guidelines include physician’s orders, standards of care, nursing policies and procedures manuals, hospital policies. Nursing duties include support to individuals of all ages and their families. Qualifications NECESSARY QUALIFICATIONS Education: Associate or Bachelor Degree in Nursing License/Certification: Must have a valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States Must maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association Neonatal Resuscitation Program (NRP) from the American Heart Association AWHONN Intermediate EFM Certification required within six (6) months of hire AWHONN Advanced EFM Certification required within six (6) months of hire. National Institutes of Health (NIH) – NIHSS – NIH Stroke Scale required within six (6) months of hire STABLE Certification within 1 year of hire Advanced Life Support in Obstetrics (ALSO) within 1 year of hire Experience: A minimum of at least one (1) year of OB nursing experience in antepartum, intrapartum, postpartum, nursery and Labor and Delivery. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Knowledge of normal growth, development and life cycle changes. This also includes knowledge of the physical, psychosocial and behavioral characteristics of the group for which care is provided Knowledge of disease entities in order to recognize complications and therapeutic interventions required Knowledge of assessment practices related to pain management and various treatment modalities of pain relief Knowledge of pharmaceuticals in order to recognize the desired effects, side effects and complications on their use, with emphasis on vasopressors and emergency medications titration of these medications Knowledge of infection control procedures and safety precautions Complete Patient Sitter Competency Training (upon hire) Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job. Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job. Submission of all required employment-related documents, application, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift up to 50 lbs frequently through entire shift. Most be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players. Environmental: Will be working occasionally around fumes or airborne particles; toxic or caustic chemicals; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases. Responsibilities ESSENTIAL FUNCTIONS Develop individualized patient care plans and periodic evaluation of plans to ensure that intended results are being achieved. Interview patients and family members and consults with attending physicians, CNM, other staff members to determine and evaluate the kind of health and physical care needed. Carry out treatments and procedures per scope of practice. When assigned as team leader, provides guidance, direction and training to ancillary nursing and other personnel. Maintain health records by documenting observations, nursing interventions and therapeutic measures administered in an accurate, efficient and timely manner. Maintain professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops and serving on nursing committees. Provide counseling and teaching to patients and families or surrogates on preventative, curative and rehabilitative measures involved in health care. Knowledge of normal growth, development and life cycle changes. This also includes knowledge of the physical, psychosocial and behavioral characteristics of the group for which care is provided. Knowledge of assessment practices related to pain management and various treatment modalities of pain relief. Knowledge of pharmaceuticals to organize the desired effects, side effects and complications on their use. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (Refer to the CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction. Perform other duties as assigned.