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1 month ago

Registered Nurse Labor and Delivery

Banner Health Payson, AZ

Primary City/State: Payson, Arizona Department Name: Women's Svcs-Hosp Work Shift: Night Job Category: Nursing 20K HIRE-ON INCENTIVE AND RELOCATION BONUS AVAILABLE FOR EXPERIENCED CANDIDATES The future is full of possibilities. At Banner Health, we’re excited about what the future holds for health care. That’s why we’re changing the industry to make the experience the best it can be. If you’re ready to change lives, we want to hear from you. As the gateway to Arizona's dramatic high country, Payson offers four-season recreation. This land, where the Ponderosa Pine Forest meets desert canyon country, offers sparkling lakes, and scenic mountains. Ride horses in the morning and fly-fish in the afternoon, and once the first snow falls, strap on your skis and find a trail for cross-country skiing. Join our critical access team that takes pride in the care and compassion we give to our community in picturesque Payson, Arizona. This RN position is a full-time 36-hour night shift position 7pm-7:30am. If you enjoy working with a great team and working on a variety of different cases, apply today! Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. Great options and great opportunities. At Banner we are tapestry of cultures, and experiences. A workforce that is honored to serve and support the community. If you’re looking to leverage your abilities – you belong at Banner Health. Banner Payson Medical Center is the largest community health care provider in Arizona's Rim Country and remains committed to making a difference in people's lives by providing the highest quality of care to the residents of Payson and the many surrounding communities. A full-service health care facility, the 25 bed hospital offers extensive services including cardiopulmonary/respiratory, emergency, intensive care, imaging, labor and delivery, laboratory, surgery and rehabilitation. Banner Payson Medical Center also offers an array of outpatient services and specialty clinics including OB/GYN, urology and podiatry surgery, general and orthopedic surgery, family medicine, outpatient imaging, bone densitometry, diagnostic x-rays, ultrasound, mammography, nuclear medicine, nuclear cardiac stress testing, CT scans, MRI, pulmonary function testing, EEG, infusion center, rehabilitation therapies, plus sleep studies and pain management. 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. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

Outpatient

Alaska Native Tribal Health Consortium Anchorage, AK

1 month ago

Clinical Nurse Case Manager II - Neurology Clinic

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 direction collects, analyzes data, identifying expected outcomes of each patient, developing a plan of care with interventions and constantly evaluating the patient's progress toward attainment of the outcomes, working collaboratively with the specialty healthcare team and other disciplines. Responsibilities Using critical thinking and problem solving skills in a dynamic and systematic collaborative approach to providing and coordinating health care service to a defined population. Uses advanced nursing specialty knowledge to assess, plan, implement, evaluate and interact with the patient. Evaluates options and services to meet the individual’s health needs through communication and available resources to promote quality, cost-effective outcomes. This may include the development and maintenance of patient tracking and reporting programs for the purposes of identifying gaps in the health care delivery system. Contributes to the mission and vision of ANTHC by providing necessary coordination of care for a specified population. This means being involved in organizational activities such as unit based councils and process improvement committees to continually evaluate and improve services for the specific population. Independently and consistently use nursing knowledge, collect patient health data, analyze the data to determine diagnoses, identify expected outcomes individualized to the patient, develop a plan of care that prescribes interventions to attain the expected outcomes, implement the interventions identified in the plan of care, and evaluate the patient’s progress toward attainment of the outcomes, working collaboratively with the healthcare team. Is active in the systematic evaluation of the quality and effectiveness of nursing practice, researching and spearheading quality of care activities to initiate positive changes in nursing practice. Evaluates one's own nursing practice in relation to professional practice standards and relevant statutes and regulations, identifying short and long-term professional goals. Adheres to the Standards of Practice for Case Management, and the ANA Nurses Code of Ethics, and is familiar with specific specialty standards of practice if applicable. Interacts with and contributes to the professional development of peers and others practicing in a Shared Governance model of nursing practice. Acts as a consultant regarding specialty issues to all involved disciplines. Decides and acts on behalf of patients are determined in an ethical manner, and care is delivered in a nonjudgmental and nondiscriminatory manner that is sensitive to patient diversity preserving patient autonomy, dignity, and rights. Collaborates with the patient, family, and other health care providers in the formation of overall goals and the plan of care, as well as in decisions related to care and the delivery of services. Considers factors related to safety, effectiveness, evidence based-practice, and cost in planning & delivering patient care, and assists the patient and family in identifying and securing appropriate and available services to address health-related needs. This includes communications and coordination with various insurance payers including ANMC’s Purchased Referred Care, Alaska Medicaid, and independent insurance companies. Plans, collaborates, and coordinates with external facilities to arrange care for complex subspecialty needs not provided at ANMC. Utilizes extensive problem solving and critical thinking skills in triaging patients via the telephone, email and walk-in situations. Delivers extensive patient education on complex specialty issues as well as multiple disease processes. Delivers timely and effective nursing care according to established standards including physical, social and emotional care. Has the flexibility to adapt to new and changing situations. Performs program specific complex nursing assessments, interventions, and evaluations, including specialized infusions, procedures and protocols as applicable. Proactively shared specialty information with colleagues in the form of formal presentations and publications to enhance the overall nursing quality of care at ANMC for the specified population. Performs other duties as assigned. Other Information KNOWLEDGE and SKILLS 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 Alaskan culture. Knowledge of nursing theorists and ability to provide theory based care for patients. Knowledge of 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 providing effective nursing services, assessing patient situations and taking effective courses of action. Skill in assessing and prioritizing multiple requests by patients, families, and team members. Skill in evaluating health problems, and making recommendations based on observations. Skill in operating a personal computer utilizing a variety of software applications. MINIMUM EDUCATION QUALIFICATION Associates degree in Nursing. Minimum Experience Qualification Non-supervisory - Five (5) years professional work experience in health education, health related research, and/or health related program development, implementation and evaluation. An equivalent combination of relevant education and/or training may be substituted for experience. MINIMUM CERTIFICATION QUALIFICATION Current registered nurse license in the State of Alaska. Current Basic Life Support card required. Preferred Education Qualification Bachelor’s Degree in Nursing. Preferred Experience Qualification Experience in the Alaska Tribal Health System. Preferred Certification Qualification National certification in Case Management through the ANCC and/or other specialty specific certification.

Frederick Health Frederick, MD

OR Charge RN Weekend Option

$39.34 - $58.53 / hour

Job Summary Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior. Provides oversight and coordination of patient care activities for the department using the nursing process. Performs leadership and teaching duties to support effective patient care. Participates in continuous quality improvement activities. Participates in patient/family teaching and provide leadership by working cooperatively with physicians, nursing services and other patient team personnel to maintain standards for professional nursing practice in the clinical setting. Functions within the limits of the State and Federal licensing, regulatory bodies and hospital policies. Example of Essential Functions: Coordinates and provides direct patient care in accordance with accepted nursing standards while utilizing the nursing process. Makes frequent patient rounds to assure the quality, customer service and appropriateness of patient care. Identifies areas needed for improvement in patient care delivery and plans for effective change. Serves as a resource to staff, colleagues and other departments. Prepares patient care assignments considering the staff skill mix, competence of the employee and the complexity/acuity of the patient care needs. Assures a safe patient care environment. Coordinates the maintenance repairs and environmental health needs for the department. Assures safety/ emergency checks are done according to department standards. Assures that the daily reports and records related to the operations of their unit are complete and accurate per shift. Provides the support necessary to assure appropriate patient/family teaching, discharge planning and phone calls. Cooperates with affiliating instructor(s) to implement and evaluate students’ clinical experience. Provides department environment conducive to future recruitment of students. Participates in the interview process for applicants. Coaches, counsels, mentors, and evaluates clinical staff under the guidance of the unit Manager/Director. Monitors and follows up appropriately with employees regarding work performance and attendance. Provides input into the development of the staffing schedule for the assigned unit. In collaboration with unit manager, forecasts scheduling deficits and implements corrective action as necessary. Provides for an effective orientation of new employees while adhering to appropriate payroll and scheduling policies. Collaborates with CNS to arrange an orientation schedule for new hires with designated preceptor. Serves as a mentor to staff on the nursing department. Actively participates in performing preceptor duties as appropriate. Supports new hires/orientees by ensuring reasonable patient assignment, keeping new employee with preceptor during scheduled shifts. Conducts unit huddles, briefs and de-briefs every shift to provide support to all staff as appropriate. Collaborates with the unit management team to develop and achieve departmental goals and objectives around all hospital pillars. Maintain staffing worked hours to premier productivity standards within designated work shift. Participates in the budget process by providing input into departmental needs, and participates in the implementation of the approved operational budget. Provides cost saving suggestions to Department Manager. Identifies opportunities for improved services and quality of patient care. Actively participates in the department PI activities. Encourages and arranges for staff involvement in PI efforts and implementation of evidence based practices. In collaboration with Unit Manager and CNS, monitors compliance with documentation, metrics, quality and other performance standards applicable to that unit. Participates in activities to improve performance and proactively engages in staff education. Consistently utilizes communication style that sets unit tone for positive professional behavior (TeamSTEPPS Model). Promotes meaningful focused communication between the physicians and staff using SBAR format. Actively engages in unit efforts to promote retention of staff. Provide for a high level of employee morale while ensuring adherence to standards of behavior. Demonstrates effective delegation to colleagues for department tasks/projects to facilitate staff ownership of own department successes. Participates and/or leads clinical task forces, special projects and unit huddles. Plans for own professional development and continuing education. Completes education appropriate for their own developmental needs as well as hospital and department mandatory education requirements and competencies. Required Knowledge, Skills and Abilities: Ability to use technology and equipment to perform job duties Effective interpersonal and communication skills. Effective use of proper body mechanics when handling patients, supplies and equipment Ability to handle a physically demanding environment. Skills and abilities to perform all job description duties according to the age specific patient population served by their department and standards of practice. Resource Personnel – Skills and abilities to perform all job description duties according to the age specific patient population served by the department to which they have been assigned. Ability to keep patient and employee information confidential · Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status. Possess the ability to interpret the appropriate information needed to identify each patient’s requirements relative to his/her age-specific needs and to provide the care needed as described in the unit’s/department’s policies and procedures. · Must have the ability to plan and direct work activities of staff to achieve organizational, unit, shift and quality safe patient centered care. He/she must be able to determine most effective use of resources to achieve unit fiscal stewardship. Minimum Education, Training, and Experience Required: Eligible for or currently licensed as a registered nurse in the State of Maryland BSN required Certified in Cardiopulmonary Resuscitation (CPR) and/or other appropriate certifications. Clinical competency in their departmental area of practice, minimum 2 years of experience in clinical area of practice. Achieve certification in area of appropriate clinical specialty after two years of clinical experience. Patient Contact Must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in the following age groups: _X_ Neonate (0 thru 30 days) _X_ Infant (31 thru 12 months) _X_ Child (13 months thru 12 years) _X_ Adolescent (13 years thru 17 years) _X_ Adult (18 years thru 65 years) _X_ Geriatric (66+ years) Physical Demands: Medium-Heavy Work – Lifting up to 75 pounds on an infrequent basis (less than one lift every three minutes) and/or carrying up to 35 pounds while walking. Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour). Ergonomic Risk Factors: Repetition : Repeating the same motion over and over again places stress on the muscles and tendons. The severity of risk depends on how often the action is repeated, the speed of the movement, the required force and muscles involved Forceful Exertion : The amount of physical effort required to perform a task (such as moving patients) or to maintain control of equipment or tools. The amount of force depends on the type of grip, the weight of an object or person, body posture, the type of activity and the duration of the task. Awkward Posture : Posture is the position your body is in and its effect on the muscle groups that are involved in the physical activity. Awkward postures include repeated or prolonged reaching, twisting, bending, kneeling, squatting, working overhead with your hands or arms, or holding fixed positions. Contact Stress : Pressing the body hard on sharp edges can result in placing too much pressure on nerves, tendons, and blood vessels. For example, using the palm of your hand to hit or stick objects can increase risk of musculoskeletal disorders. Working Conditions: Bloodborne Pathogens Exposure Risk: Category A – WILL have exposure to blood or body fluids. Schedule: Weekend option full time, (3) 12 hr shift (72hrs per pay period); Fri/Sat/Sun or Sat/Sun/Mon Reporting Relationship: Reports to Department Manager. Receives supervision from Manager, Director and Hospital Supervisor. Caring for you as you care for the CommUNITY Frederick Health offers a comprehensive and affordable benefits package. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs. Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program. Pay is based on experience, skills and education. If position is part-time, salary will be pro-rated based on scheduled hours. The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and/or Overtime paid, if applicable. Pay range: Hourly rate $39.34 - $58.53

ICU

Sharp HealthCare Coronado, CA

Clinical Nurse RN - ICU - Sharp Coronado Hospital - Night Shift - Full-time - Eligible for up to $10K in New Hire Incentives

$61.74 - $90.16 / hour

Hours : Shift Start Time: 7 PM Shift End Time: 7:30 AM AWS Hours Requirement: 12/36 - 12 Hour Shift Additional Shift Information: Weekend Requirements: Every Other On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $61.740 - $70.170 - $90.160 The stated pay scale reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO. Placement within the range is based on years of RN experience. This Evergreen posting represents 2 positions. We are seeking a compassionate, positive, and enthusiastic individual who is passionate about patient-centered care and thrives as part of a close-knit, collaborative team. This role offers the opportunity to support the mission and goals of Sharp Coronado Hospital within our dynamic 7‑bed Intensive Care Unit. Our ICU is located in a newly designed, state-of-the-art space featuring spacious patient rooms and the latest in critical care technology. We care for a diverse population of medical and surgical ICU patients and continue to grow by incorporating new therapies and specialties to best meet the evolving needs of our community. The Sharp Coronado ICU is proud to be a recipient of the Silver‑level Beacon Award for Excellence from the American Association of Critical‑Care Nurses (AACN), awarded in 2026. This recognition reflects our commitment to exceptional patient outcomes, evidence-based practice, and a healthy, supportive work environment. At Sharp Coronado, our values are grounded in the Planetree Person‑Centered Care philosophy, placing patients, families, and caregivers at the heart of everything we do. We offer integrative therapies that support healing and well-being for patients, caregivers, and staff alike. We are looking for a true team player who delivers excellent customer service, communicates with empathy, and is dedicated to working collaboratively in a respectful, patient-focused environment. If you are motivated by meaningful work, teamwork, and high-quality care, we invite you to join our exceptional ICU team. What You Will Do To provide direct and indirect nursing services to patients and families. Required Qualifications Graduate of nursing school. 1 Year clinical experience (RNs with less than 12 months experience will complete the new grad requirements). California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED ACLS Certification (Advanced Cardiac Life Support) - American Heart Association -REQUIRED NIH Stroke Scale (NIHSS) - Various-Employee provides certificate -REQUIRED Essential Functions Clinical advancement Uses systematic planning, appropriate methods and timely exchange of information with multidisciplinary team and patient/family to coordinate care. Demonstrates ability to focus on and manage multiple patient needs and aspects of care. Actively communicates with care team to plan patient care. Utilizes available resources to problem-solve and determine most effective approach to action. Clinical judgment and decision making Utilizes the nursing process and a critical thinking approach to provide patient care that incorporates the mind, body and spirit; is individualized, goal directed, and consistent with current standards of safety. Identifies actual/potential problems for which the patient is at risk. Continuously evaluates interventions and care, and adjusts the plan as patient and family needs change. Identifies need for referrals based on information obtained in initial and ongoing assessments and evaluation. Collaborates with patient, family and other team members to develop a comprehensive plan of care. Prioritizes demand for resources and collaborates with others to meet individualized patient needs. Acts as preceptor/teacher in guiding other nurses on how to apply the nursing process with a particular unit population. Makes appropriate referrals based on information obtained in initial and ongoing assessments and evaluation. Implements safe, therapeutic and efficient care for patients with complex needs due to multi-system disease and/or complications of treatment. Demonstrates accountability for achieving patient outcomes. Demonstrates an ability to quickly recognize a patient diagnosis even though presenting symptoms or situations may be dissimilar. Documents per department/entity guidelines of care and policies and procedures. Comprehensive; representing detailed, concise picture of patient's care. Serves as a resource for other staff in managing unit specific documentation issues. Charting reflects a critical thinking/problem oriented approach to patient issues. Clinical leadership Delegates/assigns and communicates expectations for care delivery processes to each member of the team. Knowledgeable about what can and cannot be delegated to each different health care team member. Responsible for delegation and follows through to ensure delegated task is complete. Before delegating, analyzes each situation, determines and consistently applies levels of supervision needed (unsupervised, initial direction and periodic inspection, continuous supervision, or should not be delegated). Assesses appropriateness of physician orders and to question physician when appropriate. Helps coworkers improve performance. Offers assistance and support to coworkers. Provides positive feedback to others. Provides unit specific information to students, floats, travelers/registry personnel and documents appropriately. Provides incidental teaching to members of the team. Looks for and applies ways to improve work processes and systems. Offers and accepts constructive feedback/criticism in a non-judgmental, positive and confidential manner. Seeks out opportunities to assist and support coworkers. Nurse-patient/family relationship Establishes a therapeutic relationship with patient and family. Anticipates problems to establishing/maintaining a therapeutic relationship with a specific patient and takes actions to enhance quality of nurse/patient/family interaction (problems may include: spiritual, cultural, language or other communication barriers; those imposed by nature of illness or health issue). Analyzes social/cultural variables and adapts nursing interventions to meet diverse needs. Serves as a patient advocate through actions such as: removing obstacles, identifying and supporting appropriate needs and wants; interpreting for patient to physician and visa/versa. Provides age appropriate patient education that facilitates recovery, self-care, end-of-life care and health maintenance, health promotion, and wellness. Coordinates transfer and discharge planning and teaching in collaboration with other members of the health care team. Collaborates with other team members to identify, develop and/or revise patient education materials. Demonstrates flexibility to teaching based on assessment of learner's needs and the integration of adult learning principles. Knowledge, Skills, and Abilities Independently performs the nursing process through individualized assessment, planning, implementation and evaluation of safe, therapeutic, efficient care for patients with overt and subtle needs throughout the continuum of care, and according to unit's standards of care. Performs safe nursing care for patients in more complex situations with some assistance and supervision. Demonstrates competency in all areas of the unit skills and some advanced skills. May teach some skills competencies. Coordinates patient care administered by other members of the care team. May assume the responsibility of relief charge nurse and may assist with preceptorship/professional development of new nurses and students. Uses common equipment and medications safely in the practice setting and consults others when unfamiliar. Recognizes inconsistencies in patient care and manages potential complications. Demonstrates consistent organization and prioritization of workload; confident management of emergency situations. Participates in quality improvement initiatives. Complies with all regulatory and accreditation standards. Demonstrates professional behavior through participation in unit activities and committees as appropriate. Delegates/assigns and communicates expectations for care delivery processes to each member of the team. Teaches skills as necessary. Coordinates patient care administered by other members of the nursing staff. Utilizes a variety of teaching/coaching strategies to assist family through disease process/experience. Promotes clinical effectiveness, efficient use of resources, and quality care in practice setting. Transfers knowledge and mentors others to improve clinical practice. Demonstrates complex problem solving and the use of critical thinking skills. Bonus Qualified external candidates may be eligible for a $5K Sign-on Bonus and $5K Relocation Assistance Sharp employees may be eligible for a $2500 Employee Referral Bonus (for a qualified external new hire referral). Name of employee referring must be listed on the application. New Hire Incentive Eligibility Requirements: One year of related experience for all hires The following are not eligible for hiring incentives: Current Sharp employees Rehires/Reinstates that are rejoining the organization less than 12 months from last date of employment with Sharp Healthcare To remain eligible for your sign on incentive the following criteria must be met: Must remain in original hired FTE status and shift (if specified in offer letter) Must remain in original department/specialty. Must remain in original Job Title Transfers to a non-bonus eligible department or position may result in forfeiting remaining incentive bonus. Employee Referral Incentive Eligibility: Referral must list the name of the Sharp employee that referred them on the job application. External referrals only If referring a former Sharp employee – must be more than 12 months since last date of employment with Sharp Healthcare at the time of referral. #signon #relocation #referral Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class.

Heywood Healthcare Gardner, MA

2 days ago

RN

PACS Edgewood, TX

Registered Nurse (RN) General Purpose The primary responsibility of your job position is to supervise the day-to-day nursing activities of the facility during your tour of duty. Such supervision must be accordance with current federal, state, and local standards, guidelines and regulations that govern the facility and may be required by the Director of Nursing (DON)and or/Assistant Director of Nursing (ADON) when applicable, 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 • Assist the Director of Nursing Services in directing the day-to-day functions of the nursing activities in accordance with current rules, regulations, and guidelines that govern the long-term care facility. • Participate in developing, maintaining, and updating written policies and procedures that govern the day-to-day functions of the nursing service department. • Ensure that reference material (i.e., PDR’S, regulations, professional standards of practice, etc.) maintained at the nurses’ stations is current. Recommend written material that will assist the nursing service department in meeting the day-to-day needs of the resident. • 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 to the Director as necessary/required, concerning the operation of the nursing service department. • Periodically review the department’s policies, procedure manuals, job descriptions, etc. Make recommendations for revisions to the Director. • Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents’ total regimen of care. • 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 requested by the Administrator or Director of Nursing Services. • Periodically review the resident’s written discharge plan. Participate in the updating of the resident’s written discharge plan as required. • Assist the Director in planning the nursing services portion of the resident’s discharge plan as necessary. • Meet with the nursing staff, as well as support personnel, in planning the department’s services, programs, and activities. • Admit, transfer, and discharge residents as required. • Complete accident/incident reports as necessary. • Interpret the department’s policies and procedures to personnel, residents, visitors, and government agencies as required. • Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., asnecessary. • 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. Committee Functions • Attend various committee meetings of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment, etc.) as required. • Assist in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee(s) as directed. • Provide information to the Quality Assurance and Assessment Committee as requested. • Participate in developing the agenda for the Care Plan Committee meetings as necessary. • Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan Committee as required or as may be necessary. • Implement recommendations from established committees as instructed by the Director. Personnel Functions • Ensure that a sufficient number of licensed practical and/or registered nurses are available for your tour of duty to ensure that quality care is maintained. • Ensure that a sufficient number of certified nursing assistants are available for your tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident. • 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. • 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. • Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to the Director. • Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Report problem areas to the Director. • Ensure that established policies and procedures, including dress codes, are followed by all departmental personnel. • Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary. • Develop and maintain a good working rapport with inter-department 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. • Meet with your shift on a regularly scheduled basis to assist in identifying and correcting problem areas and/or to assist in the improvement of services. • Review and evaluate your department’s work force and make recommendations to the Director. • Participate in employee performance evaluations, determining your shift’s staffing requirements, and making recommendations to the Director concerning employee dismissals, transfers, etc. • Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. • 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 service 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 • Make rounds with physicians as necessary. • Encourage attending physicians to record and sign progress notes, physicians’ orders, etc., on a timely basis and in accordance with current regulations. • Inform the Director when physician visits are not made in a timely manner. • Consult with the resident, his/her family, and the resident’s physician in planning the resident’s care, treatment, rehabilitation, etc., as necessary. • Notify the resident’s attending physician and next-of-kin when there is a change in the resident’s condition. • Visit residents on a daily basis in order to observe and evaluate each 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. • Review nurses’ notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes. • Provide direct nursing care as necessary. • Start IVs, obtain sputum, urine and other specimens for lab tests as ordered. • Take TPRs, blood pressures, etc., as necessary. • Admit, transfer and discharge residents as necessary. • Report problem areas to the Director. Assist in developing and implementing corrective action. • Keep the Director informed of the status of residents and other related matters through written/oral reports. • Assist the Charge Nurse in monitoring seriously ill residents. • Authorize the use of restraints when necessary and in accordance with our facilities policies and procedures. • Ensure that all RNs and LPNs on your shift comply with written procedures for the administration, storage, and control of medications and supplies. • Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. • Review medication cards for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order policies. • Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. • Ensure that residents who are unable to call for help are checked frequently. • Meet with residents, and/or family members, as necessary. Report problems to the Director. • Assist in arranging transportation for discharged residents as necessary. • Inform family members of the death of the resident. • Call funeral homes when requested by the family. 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. • Assist the In-service Director/Educator in developing annual facility in-service training programs (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). • Assist the Director in planning clinical supervision for nurse aide trainees. • 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 • Assist the Safety Officer in developing safety standards for the nursing service department as necessary. • Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and jobrelated 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 is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids. • Ensure that personnel follow established procedures for the use and disposal of personal protective equipment. • Monitor your shift’s personnel to ensure that they are following established safety regulations in the use of equipment and supplies. • Ensure that all nursing service personnel comply with established departmental policies and procedures. • Ensure that nursing service work areas (i.e., nurses’ stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. • Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. • Ensure that nursing service personnel follow established handwashing and hand hygiene procedures. • Ensure that nursing service 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 nursing service personnel follow established infection control procedures when isolation precautions become necessary. • 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 Director the equipment and supply needs of the department. • Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to meet the needs of the resident. • Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing service department’s equipment and supplies in a safe and operable manner. • 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 the nursing service department’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 • Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident as necessary. • Participate in the development of a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. • Encourage the resident to participate in the development and review of his/her care plan. • Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. • Ensure that all personnel involved in providing care to the resident are aware of the resident’s care plan. Ensure that nursing personnel refer to the resident’s care plan prior to administering daily care to the resident. • Review nurses’ notes to determine if the care plan is being followed. • Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. • Review resident’s medical and nursing treatments to ensure that they are provided in accordance with the resident’s care plan and wishes. Budget and Planning Functions • Keep abreast of economic conditions/situations, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care. • Recommend to the Director the equipment needs of the nursing service department. • Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Supervisory Requirements Assist with the overall supervision of and management of the nursing staff. As RN, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must posess, as a minimum, a Nursing Degree an accredited college or university. Must have training in rehabilitative and restorative nursing practices. 2 years or more experience preferably in a long-term care facility. 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. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must possess • the ability to make independent decisions when circumstances warrant such action with the ability to solve practical problems. • the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. • leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. • 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 demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served. Be a supportive team member, contribute to and be an example of team work and team concept. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. 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 be able to relate information concerning a resident’s condition. 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 RN 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 on weekends and holidays when necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Is involved in community/civic health matters/projects as appropriate. Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as 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.

Part-time

3 months ago

RN Care Coordinator, Case Management

$38 - $78.93 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 8-Hours, Mornings, Weekends, 4 hour shifts on Saturdays and Sundays $38.00 - $78.93 Disclaimer We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization. Job Summary: The RN Care Coordinator is responsible for coordinating and facilitating patient-centered care throughout the hospitalization, with a focus on utilization management, care coordination, discharge planning, and transitions of care. RN Care Coordinator works collaboratively with the interdisciplinary care team to ensure appropriate utilization of healthcare resources, timely progression of care, and safe, effective transitions to the next level of care. Responsibilities Essential Functions: Utilization Management- Utilization Review and Care Transitions & Coordination Providing clinical information to payers, monitoring length of stay, seeking necessary care authorizations and utilizing the InterQual Program; appealing denials as indicated within a timely fashion. Reviews all new admissions and Observation patients within 24 hours of admission against High Risk Screening Criteria and documents outcome within the UM EMR. Completes assessments on re-admissions within 30 days including reasoning for re-admission documents findings and provides data to the department for stratifying data. Follows-up on lack of documentation for medical necessity, supporting documentation with discipline identified. Trackand trend opportunities for improvement resulting in late Insurance Reviews, longer lengths of stay; including educating providers to Interqual Criteria used for determining Admission or Observation status. Completes utilization reviews daily and/or as required by insurer, (concurrent and retro) for medical and/or psychiatric appropriateness according to Hospital's approved criteria timely and efficiently. Assesses, intervenes, evaluates and determines level of care to establish accurate admission and/or observation status; demonstrates basic knowledge of DRG reimbursement, evidenced by standardized measures for length of stay and acuity level status designation. Demonstrates clinical expertise specific to the issuance of ABN/HINN notice to patients and/or legal significant other and care progression. Keeping physician and team informed of status change and documenting status. Provides education and information to patient, family and care providers as it pertains to continuing care, care management, LOS, re-hospitalization and assure understanding of disease management Multidisciplinary Team Rounds-participates in discharge planning rounds daily. Works collaboratively with multidisciplinary team to determine each patient's needs concurrently including post-acute care when needed; addresses LOS issues, appropriate leveling of patient status; addressespotential needs, resources, referrals for other disciplines etc. Quality & Statistical Data: Reviews medical record for abnormal findings,complications, delays and deviations from expected clinical outcomes reports such to Provider and/or Director to maintain an efficient, cost effective episode of care for each patient and documents intervention provided. Acquires knowledge to keep up with changes in technology and regulations. Utilizes knowledge to redesign systems for improving performance. Continuously prioritizes projects, activities, and tasks to ensure deadlines and customer needs are met. Assists with preparation of reports/statistics as it pertains to staff specific workflow. Denials/Appeal Process: Completes assessment of denial within 1 week providing supporting documentation with outcome of review; documents intervention in the UR EMR section. Prepare written appeal letters, termination letters, discharge notices, MOON and IMs when appropriate as per regulatory standards and department policies. Report any variances, trends to director. Submits denials/appeals when completed to the department secretary for processing. Discharge Planning:Communication: builds rapport and responds to needs of physician, reviewers for managed care plans, healthcare team members, 3rd party payers, outside reviewers and vendors to enhance internal and external customer service satisfaction. Responsible for completing nursing sections of the SNF Level of Care forms for Mass Health patients in need of care SNF placement, timely and efficiently and other forms assisting in transition of care as identified and collaborates with the social worker. In the event of an emergency, Care Coordinator may complete the form in full and process it to help expedite discharge planning process and length of stay. The Discharge Planning Process:Completes discharge planning assessments timely, efficiently and completely following regulatory standards and departmental policies assuring appropriate patient flow. Appropriately levels patient for home discharge with or without services or to another type of facility such as a SNF, Acute Rehab etc. Develops coordinates and implements discharge plan on cases assigned with patient and/or family/so caregiver. Identifying patient preference and selection choice for HHA/SNF placements having patient preference form checked off and signed/dates by patient and/or so. When plan is in place, notify provider establish and determine anticipated readiness for discharge, keeping patient/family/so informed and documenting such in the EMR. Closes case out using appropriate forms for transition of care communication timely and efficiently. The Care Coordinator collaborates with the team to assist the Multidisciplinary Team in providing discharge planning activities to assist in expediting a patient’s discharge as part of the care transitions process. It is the expectation that the Care Coordinator remains current and proficient in the discharge planning process in the event coverage is needed. Performs any and all other duties as assigned by director and/or designee. Statement of Other Duties: This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements: Exerts 20 to 50 pounds of force occasionally, and/or up to 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes: The following behavioral attributes are required: achievement motivation, flexibility, concern for order, initiative, self-confidence, self control, customer service orientation, interpersonal effectiveness, teamwork and information seeking. Qualifications Job Requirements Minimum Education BSN preferred Minimum Work Experience Previous UR/QA experienced preferred. Minimum 2 years of acute hospital patient care experience required Previous experience with InterQual or an equivalent utilization management criteria system preferred. Minimum License and Certifications Current Massachusetts Registered Nurse License Required Skills Proficient computer skills and ability to navigate electronic medical records and other healthcare information systems required. Demonstrated knowledge and experience with discharge planning and care transitions, including: Patient-centered discharge planning preferred Referral processes and coordination of post-acute services Patient preference and choice Identification and coordination of appropriate community resources Patient and family education and satisfaction Post-discharge follow-up and continuity of care Ability to collaborate effectively with patients, families, physicians, nurses, social workers, ancillary departments, and external healthcare providers.

Outpatient

Alaska Native Tribal Health Consortium Anchorage, AK

1 month ago

Clinical Nurse Case Manager II - Cardiology--Ambulatory

CentraState Healthcare System Freehold, NJ

Registered Nurse (RN) (Total Joint/Orthopedic Unit)

$44 - $74.80 / hour

Overview CentraState Healthcare System, in partnership with Atlantic Health, is a fully accredited, not-for-profit, community-based health system dedicated to providing comprehensive health services in central New Jersey. Located in Freehold, CentraState includes a 284-bed acute-care hospital, a dynamic health and wellness campus, two award-winning senior living communities, a charitable foundation, and convenient satellite health pavilions. These pavilions offer primary care, specialty physician practices, and access to outpatient services such as lab work and physical therapy. CentraState is proud to be among the less than two percent of hospitals nationwide to earn Magnet® designation for nursing excellence five times. Additionally, it has been recognized as a Great Place to Work-Certified™ Company by Great Place to Work® for four consecutive years. The Total Joint & Orthopedic Unit is a recently established, 21-bed private unit that offers excellent opportunities to specialize in the care of orthopedic patients. This busy unit consistently supports a full census while maintaining a nurse-to-patient ratio of 1:5–1:6. Currently serving a mix of orthopedic and medical patients, the unit is transitioning toward a more dedicated orthopedic focus as additional orthopedic physicians join the team. A dedicated-on unit of rehabilitation gym enhances recovery by providing patients with access to structured, goal-oriented physical therapy in a supportive environment. The space includes functional training equipment such as a simulated car transfer setup to help patients safely practice real-life movements essential for discharge readiness. The patient population includes Total Joint knee and hip replacements, ankle surgeries, and fracture recovery providing a fast-paced, team-oriented environment that supports both professional growth and strong patient outcomes. CentraState Medical Center currently has an employment opportunity available for a Registered Nurse (RN) . The Registered Nurse (RN) administers culturally sensitive nursing care to assigned patients that is in accordance with ANA standards, the NJ Practice Act, Joint Commission, professional standards and established hospital and Nursing Department policy and procedures in accordance with evidence based nursing practice. Utilizes the Nursing Process in providing patient centered care. Evaluates the effectiveness of nursing care through the analysis of nurse sensitive indicators and patient outcomes. Orientation will include satisfactory completion of IV Course and CPR Certification. A patient focused care model utilizing a multidisciplinary approach is used as the method to deliver patient care. Responsibilities Provides considerate respectful care focused upon the patient's individual needs to ensure patient satisfaction. Affirms the patient's right to make decisions regarding his/her medical care, including the decision to discontinue treatment, to the extent permitted by law. Successfully completes life-span education as appropriate. Obtains a complete nursing history and baseline assessment that is systematic, consistent and continuous. This assessment is communicated effectively utilizing Hand-off policy and documented. Documents results of patient assessment, nursing diagnosis, care plan nursing interventions and evaluation and patient progress in medical record according to hospital/nursing policy and the Nursing Standards of Care/Practice for the specific patient type. Appropriately analyzes patient information /assessment to determine nursing diagnosis and needs for appropriate nursing care, medical intervention or services of other clinical professionals. Identifies patient problems and formulates nursing diagnosis according to physical, psychological, spiritual/cultural and educational needs in conjunction with a multi disciplinary approach. Consistently includes patient and family in the development of an individualized plan of care. Administers medication as needed following CSHS policies and manufacturer's instructions. Takes immediate and appropriate actions in the event of a medication variance occurrence. Recognizes changes in patient condition and/or emergency situations and takes immediate and appropriate actions. Participates in unit conferences to discuss quality issues and quality improvement strategies. Offers ideas to improve processes for patient safety. Delegates components of care to non-professional caregivers as appropriate. Follows up on any delegated components of care and assignments given. Makes decisions that demonstrate knowledge of nursing practice; utilizes sound nursing judgment in clinical and patient care management situations. Demonstrates critical thinking skills in the care of patients and in the coordination of care to assure the best patient outcomes. Follows CSHS Pain Assessment policy. Successfully functions as a Resource Nurse, making decisions in the absence of the Clinical Leader and/or the Nurse Manager. Supports cost containment through efficient use of equipment, supplies and other pertinent resources. Recognizes adverse reaction to medications and takes immediate and appropriate action. Evaluates the patient's needs for discharge and accesses appropriate resources for the patient and/or family. Consistently provides written and verbal education to patients and/or families. Successfully functions as a preceptor/mentor to students and new staff members. Consistently promotes teamwork within the unit and between departments. Consistently adheres to hospital policy regarding the insertion, maintenance and removal of foley catheters, if applicable. Able to verbalize and demonstrate proper rationale and techniques surrounding all aspects of indwelling urinary catheter care as per policy #4668. Fulfills the requirements for competencies and completion of annual mandatories surrounding indwelling urinary catheters. Supports operations by demonstrating ability and willingness to float between units as an RN and provides 1:1 patient observation when deemed necessary Qualifications Associate’s degree in Nursing required Bachelor's degree in Nursing required within 3 years of hire. Graduate of CSMC Residency program, or Minimum of 1 year acute care RN experience required Related experience preferred. Current NJ RN license required. CPR Certification required. ACLS certification to be achieved within first year then maintained thereafter. Successful completion of Basic Dysrhythmia course to be achieved with first year. CSMC IV Certification to be achieved within first year. Stroke Education requirements to be achieved within first year then maintained thereafter. Specialty professional nursing certification preferred. Strong professional, organizational, and interpersonal skills to effectively relate with all members of the healthcare team. About Us CentraState Healthcare System, in partnership with Atlantic Health System, is a fully accredited, not-for-profit, community-based health system dedicated to providing comprehensive health services in central New Jersey. Beyond offering a wide range of advanced diagnostic and treatment options, CentraState is committed to being a valuable health partner, focusing on disease prevention, promoting healthy behaviors, and helping individuals of all ages live well. Located in Freehold, CentraState includes a 284-bed acute-care hospital, a dynamic health and wellness campus, two award-winning senior living communities, a charitable foundation, and convenient satellite health pavilions. These pavilions offer primary care, specialty physician practices, and access to outpatient services such as lab work and physical therapy. CentraState is proud to be among the less than two percent of hospitals nationwide to earn Magnet® designation for nursing excellence five times. Additionally, it has been recognized as a Great Place to Work-Certified™ Company by Great Place to Work® for four consecutive years. Joining CentraState means becoming part of a pioneering healthcare facility committed to high-quality, patient-focused care. We invite you to make a difference in our community and advance your career with us. We support our employees with work/life balance initiatives, tuition assistance, career advancement opportunities, and more. Discover why our employees love their jobs and being part of the CentraState family! CentraState Health System offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. What We Offer: Medical, Dental, Vision, Prescription Coverage (30 hours per week or above for full-time and part-time team members) Life & AD&D Insurance Long-Term Disability (with options to supplement) 403(b) Retirement Plan with employer match 401(a) Retirement Plan with employer contribution PTO Tuition Reimbursement Well-Being Rewards Employee Assistance Program (EAP) Fertility Coverage, Healthy Pregnancy Program Flexible Spending & Commuter Accounts Pet, Home & Auto, Identity Theft and Legal Insurance Growth Opportunity and Workforce Development Initiatives Continuing Education / Onsite Training A warm, welcoming company culture based upon mutual respect and a collaborative goal of providing excellent patient care Concierge Services with Work & Family Benefits Magnet recognized healthcare facility Compensation Range: $44.00 - $74.80 per hour The compensation above reflects the established range from CentraState Healthcare System (CSHS) for this position at the time the job was posted. CSHS considers many factors to determine compensation, including education, experience, skills, licenses, certification, and training. As such, team member compensation may fall outside this range. Additionally, the compensation range reflects base salary and does not include extra shift rates or incentives tied to quality, productivity, etc., as applicable. The benefits outlined also reflect CSHS’ policy at the time of posting. Benefits as are made available to other similarly situated team members of CSHS, although participation is at all times in accordance with and subject to the eligibility and other provisions of such plans and programs. CSHS may modify its benefits plans or programs at any time. CSHS is proud to comply with all pay equity and pay transparency laws.

Texoma Medical Center Denison, TX

10 months ago

REGISTERED NURSE (RN) - OR

Responsibilities This position is for a FT OR circulator and offer full benefits. There is opportunity for overtime and to cover various additional shifts if interested! Texoma Medical Center, a 414-bed acute care facility has been providing quality health care to the residents of North Texas and Southern Oklahoma since 1965. Our main campus is located in Denison, Texas, approximately one hour north of the Dallas/Fort Worth area and just south of the Texas/Oklahoma border. In addition, we have numerous facilities in locations throughout the Texoma region. Since 1965, TMC has forged a special relationship with the people of North Texas and Southern Oklahoma. Texoma residents have come to depend on TMC to meet a spectrum of physical, mental and spiritual needs. TMC has responded with unique services to provide the kind of sophisticated, experienced care that was once available only in major metropolitan areas. We offer major specialty services including open heart surgery and neurosurgery. Advanced resources such as certified trauma care support TMC's role as a regional specialty center. The basic purpose of nursing is to provide safe, competent nursing care for patients in accordance with facility policies, standards, and philosophy. Additionally, nursing will provide professional leadership and support to the healthcare team. The concepts of Patient Centered Care will provide the foundation for all nursing care. Demonstrates Service Excellence standards at all times. The Standards of Practice set forth by the professional nursing associations will provide guidelines for the competent, safe and professional practice. Benefits available for our Registered Nurse (RN) include: Tuition Assistance Career Development opportunities Flexible Scheduling HealthStream online learning catalogue with plenty of free CEU courses Challenging and rewarding work environment Competitive Compensation and generous Paid Time Off (PTO) Excellent Medical, Dental, Vision and Prescription Drug plan 401K with company match and discounted stock plan Pet Insurance SoFI Student Loan Refinancing Program More information is available on our Benefits Guest Website: benefits.uhsguest.com If you would like to learn more about the Registered Nurse (RN) position before applying, please contact one of our nurse recruiters at (903) 416-4050 What do our current nurses value at Texoma Medical Center & UHS? A safe and supportive environment that puts patient care first and values the nursing profession. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. You are never alone, as you are part of a large, nationwide network of peer nurses and nursing leaders that educate the field, routinely exchange ideas, and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career through our Charge, Supervisor and Nurse Manager-in-training programs and nursing executive tract. We are proud of our robust continuing education options and opportunities for skills diversification and career advancement as a Registered Nurse (RN) with UHS. We want to help you succeed and grow in your profession and enjoy a sense of belonging and trust that comes through your expanding experience. At UHS, we are a System of Care, and you have a voice. About Universal Health Services: One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com . From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license. Qualifications Registered Nurse (RN) Job Requirements: Current Texas nursing license or compact license. One year full time experience in an acute OR setting required. RQI BLS, ACLS and PALS required. BLS (Basic Life Support) Healthcare Provider course according to RQI program guidelines and all required Emergency Cardiovascular Care (ECC) Healthcare Provider courses will be provided during new hire orientation or upon transfer, and must be completed prior to working in a clinical setting. See additional department proficiency requirements above. Must successfully pass any pre-employment assessment(s) required by the facility. Must be able to identify and competently address needs of populations served. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters

CentraState Healthcare System Freehold, NJ

Registered Nurse (RN) (Total Joint/Orthopedic Unit) - NIGHTS

$44 - $74.80 / hour

PACU

Banner Health Sun City, AZ

Registered Nurse RN PreOp PACU

Primary City/State: Sun City West, Arizona Department Name: Perianesthesia -Hosp Work Shift: Day Job Category: Nursing Your Journey with us began the moment you made the choice to seek a career with Banner Health. Whether you are just beginning your career or your Journey has spanned 30 years, Banner's employer commitment is: "We'll help make a difference in your life and career so you can make a difference in the lives of others.” So why should you choose us? It is simple…This is your chance to stand out and continue to learn and stay on the cutting edge of technology. Be empowered and encouraged to maintain a curiosity and grow on a supportive and outstanding team. So join us on our journey to make health care easier, so life can be better. Banner Del E. Webb is currently an ACS level IV Trauma Center with a total of 10 surgical suites. We are on our journey to become the destination of choice for total joint replacements and the orthopedic Center of Excellence. As we, at Banner Del E. Webb, look to continue to advance and provide state of the art advances you will find Stryker 4K 1588 Advanced Imaging Modalities (AIM): ENV, IRIS, Clarity, DRE and Desaturation for Laparoscopic and Arthroscopic procedures; top of the line ENT navigation featuring the 3D electromagnetic Medtronic S8 AxiEM Fusion; and our orthopedic MIS spine procedures have the ability to utilize the Brainlab Airo® 32-slice helical scanIntraoperative CT. Watch this short video to learn what it is like working as a nurse at Banner Del E Webb Medical Center . SHIFT DETAILS Employment Type: Full-time Hours per Week: 36HRS | 3’12s Shift: 9:30am-10pm Schedule: Varied Schedule On call, weekends, holidays: rotating with other staff Enjoy an 18%-night shift differential and a flat rate $3/hour weekend shift differential and $5/hour while on call. Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life Banner Del E. Webb Medical Center excels in providing extraordinary health care to residents of the northwest Valley of metro Phoenix and is recognized by U.S. News and World Report as one of Phoenix's Best Hospitals. With 391 licensed beds, the hospital provides a wide range of services, including acute medical and surgical services as well as intensive care, emergency and urgent care, inpatient/outpatient surgery, cardiac catheterization, neurology, orthopedics, oncology, urology, pulmonary, obstetrics and gynecology, outpatient diagnostic services, and adult behavioral services. 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. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

Med-Surg

Part-time

Great River Health Fort Madison, IA

Registered Nurse (RN) | 36 hours per week | Medical Surgical Unit

$35.79 / hour

Minimum Hiring Wage: From $35.79 per hour Job Details: $10,000 Sign on Bonus for Eligible applicants. Scheduled Hours: 6:00pm-6:30am Weekends Only: Friday, Saturday, Sunday Job Description: A Brief Overview Delivers care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation in coordination with other health team members. Effectively interacts with the patient, significant others, and other health team members while maintaining high standards of professional nursing.Duties are included but are not limited to those below for specified units. * Perform Bedside shift report and beginning and end of shift.* Utilize policies and procedures to keep patients safe from falls. * Assist in wound prevention and Hospital acquired pressure injuries.Assessment• Demonstrates the ability to obtain a comprehensive admission history, performs physical assessment of patient• Differentiates variations of normal and abnormal assessment findings• Analyzes and prioritizes abnormal findings. Initiates appropriate response• Anticipates actual or potential problems or health concerns in the hospital and/or home setting• Demonstrates ongoing assessment of patient's psychosocial, physiological and educational process per unit policy• Anticipates, recognizes and documents subtle changes in patient's physical and mental status• Integrates analysis of diagnostic information in patient assessment and care• Analyzes ongoing assessments to determine patient's and/or significant others learning and discharge needsDiagnosis• Integrates assessment data and formulates an individual nursing diagnosis according to policies and proceduresPlanning• Formulates an individualized plan of care including discharge planning based on standards of care and policies and procedures• Modifies individualized plan of care based on ongoing assessment and changes in patient status• Anticipates and manages changing situationsImplementation• Administers prescribed treatments and medications promptly according to hospital policies and procedures• Recognizes and questions unsafe, incorrect or inadequate orders. Intervenes to clarify patient order• Utilizes opportunities during delivery of patient care to teach the patient information necessary to attain the optimal level of self-careEvaluation• Evaluates patient's response to care and comprehension of educationDocumentation• Documents all aspects of the nursing process in a legible, concise, clear, and timely manner utilizing PCS or appropriate hospital forms, utilizing correct medical terminology and accepted abbreviationsCommunication• Involves patient and significant other(s) in all aspects of the nursing process• Acts as a patient advocate and respects the rights and confidentiality of patients• Promotes communication and relays information in a clear manner• Understand and acts within the guidelines for addressing ethical concerns• Communicates delays or wait times to patient/significant otherJudgment• Demonstrates sound judgment with the Nursing Process based upon critical thinking skills and a problem-solving approach• Anticipates and takes proper action in emergency and complex patient care situationsEquipment• Demonstrates the ability to utilize appropriate equipment when providing nursing care according to unit/organizational policies, including ability to trouble shoot equipment What you will do Assess and monitor patient condition, documenting and communicating results to physician as appropriate. Document all aspects of patient care provided in the medical record, adhering to documentation standards. Administer prescribed medications adhering to the six rights of medication administration, IV fluids, enteral feedings, monitoring their effectiveness, and addressing needs. Answer patients' calls and provides assistance or determines how to assist them. Assemble equipment, performs procedures and treatments and/or assists medical staff with patient procedures Provide basic patient care and treatments such as dressing wounds, preventing and treating pressure ulcers or performing catheterizations. Prepare patients for examinations, tests or treatments and explain procedures. Collect samples such as blood, urine and sputum from patients, and perform routine laboratory tests on samples (such as blood glucose monitoring) or sends the specimen to lab appropriately labeled. Formulate, evaluate and modify an individualized plan of care including discharge planning. Evaluate nursing intervention outcomes, conferring with other health care team members as necessary. Monitor patients' medication usage and results as well as responsible use of Medical and pharmaceutical supplies. Help patients with bathing, dressing, maintaining personal hygiene, moving in bed, or standing and walking. Measure and record patients' vital signs, such as height, weight, temperature, blood pressure, pulse, respiration, oxygen saturation and pain. Provide patient and family education. Assess resources to plan and coordinate patient care. Act as a patient advocate, respect rights and confidentiality of patients. Work as part of a health care team to assess patient needs, plan and modify care and implement interventions. Participate in treatment team conferences regarding diagnosis or treatment of difficult cases. Participate in performance improvement activities, including quality assurance, quality monitoring and improvement efforts. Delegate aspects of care to others including certified nursing assistants, patient service associates, and licensed practical nurses; provides oversight for ensuring completion of the functions. Mentor new employees and students. Adhere to safety practices and evidence based practices. Adhere to safety practices for own personal protection, i.e. infection control devices, lifts, gait belts, eye shields, gloves. Prioritize specific aspects of assignment based on patient care needs. Coordinate and oversee nursing care provided for patient care assignement. Monitor patients' medication usage and results as well as responsible use of Medical and pharmaceutical supplies. Qualifications Associate’s Degree (AA) Associates Degree in Nursing (ADN) Required Bachelor’s Degree in Arts/Sciences (BA/BS) bachelor’s degree in nursing or other related field Preferred Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures. Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders. Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions. Knowledge of basic math to calculate medication doses. Being aware of others' reactions and understanding why they react as they do. Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. Adjusting actions in relation to others' actions. Talking to others to convey information effectively. Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. Understanding written sentences and paragraphs in work related documents. Actively looking for ways to help people. The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem. The ability to listen to and understand information and ideas presented through spoken words and sentences. The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events). The ability to communicate information and ideas in speaking so others will understand. The ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position. The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations). The ability to identify and understand the speech of another person. Basic Life Support Healthcare Provider - American Heart Association within 60 Days Required Child Abuse Iowa Mandatory Reporter - Iowa Department of Human Services within 180 Days Required Dependent Adult Abuse Mandatory Reporter - Iowa Department of Human Services within 180 Days Required Registered Nurse Iowa Board of Nursing (IBON) (United States of America) Required Qualifications: MOAB within 1 year of hire for all inpatient units. Acute Care: Telemetry and Med Surg: Geriatric, Adult, Medical/Surgical, Telemetry. Includes monitoring and interpreting cardiac rhythms, administering medications and treatments as prescribed (including IV medications and non-titrating drips), caring for pre- and post-surgical patients, chronic trach patients on baseline settings, wound vacs, working closely with providers and family members to keep them updated, and reporting patient results. Basic Dysrhythmia within 6 months of hire. ACLS within 1 year of hire. Benefits: We are excited to offer an aggressive compensation and benefits package for qualifying positions, which includes: Competitive base pay Matching retirement programs Health, Dental and Vision plans Health Savings and Flexible Spending Accounts Employee discounts including car rental, cell-phone plans Employer-paid, Long-Term Disability, Life, and AD&D Paid time off (PTO) Education Assistance Program Employee Assistance Program Employee Referral Bonus Program Discounted cafeteria meals Paid Parental Leave Employee Service Recognition program Voluntary plans including: Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity Great River Health 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.

Medical Assistant II - Department of Medicine

Washington University Physicians St. Louis, MO

$17.34 - $25.40 / hour

Scheduled Hours 40 Position Summary The Medical Assistant (MA) prepares and maintains exam rooms, prepares charts, obtains reports and records; assists with patient flow and ensures the overall smooth running of the clinical office. The MA is an in-person position that provides an essential role in our clinics. Due to this, all MAs must be credentialed through NHA, AMT, or AAMA or have the ability to obtain credentials within the allotted timeframe. Our providers and staff are patient-focused and work collaboratively to promote a cohesive, team-based approach to care. Staff members stay current with evolving healthcare trends and changes through annual competency training and maintain active national certifications. We promote camaraderie through team-building events, various clinical activities, and staff recognition. Position Details: - Clinic hours are Monday through Friday, 7:00 a.m. – 6:00 p.m. - Structured schedule with flexibility to ensure optimal patient care and support, along with work-life balance. - No weekends or holidays. - Basic Life Support (BLS) certification required – additional details in More About This Job section. Position Perks: - Annual performance bonus up to $1,500 after one year of employment - U-Pass transportation assistance provided This posting may be used to fill multiple positions across various locations and clinical specialties. By submitting an application, candidates acknowledge that their information may be shared with various hiring managers for relevant opportunities. Job Description Primary Duties & Responsibilities: Patient Care Duties Interacts directly with patients in clinic setting and completes clinical tasks, which may include obtaining vital signs, conducting EKGs, completing a phlebotomy and verifying medications. Prepares for office hours by doing tasks, such as obtaining charts, scheduling tests and preparing exam rooms. Assists with examinations, procedures and lab tests. May assist with renewal and authorization of non-narcotic medications per standing orders and department guidelines. May administer medications under the order of physicians or nurse practitioner (this includes vaccines and intramuscular and subcutaneous injections). Communication and Documentation Directs patient flow, assists with special procedures/treatments and completes requisitions. Routes phone messages, patient questions and telephone communications to appropriate personnel. Assists with care coordination by doing tasks outlined under the department guidelines, such as calling patients with test results; scheduling appointments; assisting with return calls; scheduling surgeries, diagnostic procedures and admissions; and monitoring new and return patient contacts, including scheduling of appointments and follow-up appointments. Completes necessary paperwork and documentation in a timely manner. Answers basic questions from patient/family regarding treatments, diagnosis and procedures. May complete requisitions/orders per WashU guidelines. Equipment and Supplies Monitors supply inventory, ensuring adequate supplies, equipment or garments are available and that they comply with regulations. Cleans and stocks exam rooms and sterilizes instruments. Other Functions Maintains required HIPAA compliance, maintains skills/competencies and participates in in-services, staff programs, continuing education and cross-training programs according to established standards and WashU policies. Complies with OSHA, state and federal regulatory sources/standards. Participates in quality improvement activities to ensure appropriate clinical outcomes. Performs other duties as assigned. Working Conditions: Job Location/Working Conditions Normal office environment Exposure to blood-borne pathogens Requires protective devices Patient care setting Direct patient care setting Physical Effort Typically sitting at desk or table Typically standing or walking Typically bending, crouching, or stooping Occasional lifting (25 lbs. or less) Equipment Office equipment Clinical/diagnostic equipment The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: High school diploma or equivalent high school certification or combination of education and/or experience. Certifications /Professional Licenses : The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role. Basic Life Support - American Heart Association, Basic Life Support - American Red Cross, Certified Clinical Medical Assistant (CCMA) - National Healthcareer Association (NHA), Certified Medical Assistant (CMA) - American Association of Medical Assistants (AAMA), Licensed Practical Nurse - Illinois Department of Financial and Professional Regulation, Licensed Practical Nurse - Missouri Division of Professional Registration, Registered Medical Assistant (RMA) - American Medical Technologists (AMT), Registered Nurse - Illinois Department of Financial and Professional Regulation, Registered Nurse - Missouri Division of Professional Registration Work Experience: No specific work experience is required for this position. Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job Required Qualifications: Registered or Certified Medical Assistant with six months of related work experience (examples of related fields include military medic, emergency medical technicians, Nurse’s Aide, physical therapy and nurse technicians, and certified athletic trainers). Medical Assistant credentials must be obtained from in-person proctored exams from the following certifying bodies: NHA, AAMA or AMT. In-person proctored credentials from other certifying bodies may be accepted upon approval from Human Resources. Substitutions include: Graduate of an accredited nursing program (such as RN/LPN), or comparable allied health training program with a minimum of one year of relevant experience. Ability to show proof of a Medical Assistant certification/registration with successful completion of certification exam (online proctored exams are not sufficient to meet the credential requirement) within six months of hire date (or within a shorter time frame if noted by hiring manager). Basic Life Support certification (Online Basic Life Support certifications, those without a skills assessment component, are not sufficient to meet the Basic Life Support requirements). Preferred Qualifications Education: No additional education unless stated elsewhere in the job posting. Certifications /Professional Licenses : No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: Medical Assistant (2 Years) Skills: Anatomy, Clinical Care, Communication, Cross-Functional Teamwork, Electrocardiography (EKG), Electronic Medical Records (EMR), Epic EHR, HIPAA Compliance, Interpersonal Communication, Interpersonal Relationships, Medical Terminology, OSHA Compliance, Patient Care, Patient Medications, Phlebotomy, Physiology, Vital Signs Grade C06-H Salary Range $17.34 - $25.40 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ . Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Take advantage of our free Metro transit U-Pass for eligible employees. WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered. WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.

Lucile Packard Children's Hospital Stanford Palo Alto, CA

Nurse Practitioner / Physician Assistant, Pulmonology - Lung Transplant

$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: P143850-2827 Job Description 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 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): $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.

Per Diem

7 months ago

TMC BONHAM HOUSE SUPV (RN)

UHS Bonham, TX

Responsibilities This opportunity is a PRN position, and offers a flexible schedule. There is opportunity for overtime and to cover various shifts if interested! TMC Bonham Hospital is a 25-bed critical access hospital that includes both primary care and specialty physicians. The Critical Access Hospital, offering both inpatient and outpatient services along with 24-hour emergency services. The Critical Access Hospital (CAH) Program was established to assure access to healthcare services for rural residents. The program provides rural acute care hospitals with a range of opportunities for service enhancement and quality of care improvement. Quality healthcare and patient safety is our goal. Delivering the right care at the right time in the right setting is the core mission of a critical access hospital. We are committed to improve the quality of care we deliver every day. TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS. The basic purpose of nursing is to provide safe, competent nursing care for patients in accordance with facility policies, standards, and philosophy. Additionally, nursing will provide professional leadership and support to the healthcare team. The concepts of Patient Centered Care will provide the foundation for all nursing care. Demonstrates Service Excellence standards at all times. The Standards of Practice set forth by the professional nursing associations will provide guidelines for the competent, safe and professional practice. Benefits available for our Registered Nurse (RN) include: Tuition Assistance Career Development opportunities Flexible Scheduling HealthStream online learning catalogue with plenty of free CEU courses Challenging and rewarding work environment Competitive Compensation and generous Paid Time Off (PTO) Excellent Medical, Dental, Vision and Prescription Drug plan 401K with company match and discounted stock plan Pet Insurance SoFI Student Loan Refinancing Program More information is available on our Benefits Guest Website: benefits.uhsguest.com If you would like to learn more about the Registered Nurse (RN) position before applying, please contact one of our nurse recruiters at (903) 416-4050 What do our current nurses value at Texoma Medical Center & UHS? A safe and supportive environment that puts patient care first and values the nursing profession. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. You are never alone, as you are part of a large, nationwide network of peer nurses and nursing leaders that educate the field, routinely exchange ideas, and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career through our Charge, Supervisor and Nurse Manager-in-training programs and nursing executive tract. We are proud of our robust continuing education options and opportunities for skills diversification and career advancement as a Registered Nurse (RN) with UHS. We want to help you succeed and grow in your profession and enjoy a sense of belonging and trust that comes through your expanding experience. At UHS, we are a System of Care, and you have a voice. . About Universal Health Services: One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com . From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license. Qualifications The House Supervisor is an extension of administrative functions, serving as role model and resource person. Assume shift responsibility and accountablility for the planning and provision of direct and indirect nursing care to the patient, family, care partner and appropriate others. Coordinates multi-disciplinary team members, directs and facilitates nursing staff in obtaining safe, optimal healthcare outcomes. Supports activities that meet the facility vision, mission and goals. Provides professional leadership and support to the healthcare team. Oversees and guides employees that are under his/her supervision. Demonstrate professionalism and service excellence standards at all times. Registered Nurse (RN) Job Requirements: Current Texas nursing license or compact license. BSN/ MSN preferred Three years experience in acute care nursing. One year charge nurse or supervisory experience preferred. Must maintain all clinical competencies for area of supervison. BLS (Basic Life Support), ACLS and PALS Healthcare Provider course according to RQI program guidelines must be completed during new hire orientation prior to working in a clinical setting. TNCC due within 6 months of hire/transfer. Must maintain all certifications required by areas of supervision. Excellent interpersonal skills, verbal and written communication skills. Must possess critical thinking skills and sound decision making and problem solving abilities. Must be service excellence focused (strong customer service and team building skills). Must demonstrate knowledge and ability to work effectively with all levels of personnel. Must possess excellent communication skills and demonstrate team leadership. Must have the ability to problem solve andthink critically. Must possess basic computer application skills. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Per Diem

7 months ago

TMC BONHAM HOUSE SUPV (RN)

UHS Bonham, TX

Responsibilities This opportunity is a PRN position, and offers a flexible schedule. There is opportunity for overtime and to cover various shifts if interested! TMC Bonham Hospital is a 25-bed critical access hospital that includes both primary care and specialty physicians. The Critical Access Hospital, offering both inpatient and outpatient services along with 24-hour emergency services. The Critical Access Hospital (CAH) Program was established to assure access to healthcare services for rural residents. The program provides rural acute care hospitals with a range of opportunities for service enhancement and quality of care improvement. Quality healthcare and patient safety is our goal. Delivering the right care at the right time in the right setting is the core mission of a critical access hospital. We are committed to improve the quality of care we deliver every day. TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS. The basic purpose of nursing is to provide safe, competent nursing care for patients in accordance with facility policies, standards, and philosophy. Additionally, nursing will provide professional leadership and support to the healthcare team. The concepts of Patient Centered Care will provide the foundation for all nursing care. Demonstrates Service Excellence standards at all times. The Standards of Practice set forth by the professional nursing associations will provide guidelines for the competent, safe and professional practice. Benefits available for our Registered Nurse (RN) include: Tuition Assistance Career Development opportunities Flexible Scheduling HealthStream online learning catalogue with plenty of free CEU courses Challenging and rewarding work environment Competitive Compensation and generous Paid Time Off (PTO) Excellent Medical, Dental, Vision and Prescription Drug plan 401K with company match and discounted stock plan Pet Insurance SoFI Student Loan Refinancing Program More information is available on our Benefits Guest Website: benefits.uhsguest.com If you would like to learn more about the Registered Nurse (RN) position before applying, please contact one of our nurse recruiters at (903) 416-4050 What do our current nurses value at Texoma Medical Center & UHS? A safe and supportive environment that puts patient care first and values the nursing profession. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. You are never alone, as you are part of a large, nationwide network of peer nurses and nursing leaders that educate the field, routinely exchange ideas, and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career through our Charge, Supervisor and Nurse Manager-in-training programs and nursing executive tract. We are proud of our robust continuing education options and opportunities for skills diversification and career advancement as a Registered Nurse (RN) with UHS. We want to help you succeed and grow in your profession and enjoy a sense of belonging and trust that comes through your expanding experience. At UHS, we are a System of Care, and you have a voice. Who we are: One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Qualifications The House Supervisor is an extension of administrative functions, serving as role model and resource person. Assume shift responsibility and accountablility for the planning and provision of direct and indirect nursing care to the patient, family, care partner and appropriate others. Coordinates multi-disciplinary team members, directs and facilitates nursing staff in obtaining safe, optimal healthcare outcomes. Supports activities that meet the facility vision, mission and goals. Provides professional leadership and support to the healthcare team. Oversees and guides employees that are under his/her supervision. Demonstrate professionalism and service excellence standards at all times. Registered Nurse (RN) Job Requirements: Current Texas nursing license or compact license. BSN/ MSN preferred Three years experience in acute care nursing. One year charge nurse or supervisory experience preferred. Must maintain all clinical competencies for area of supervison. BLS (Basic Life Support), ACLS and PALS Healthcare Provider course according to RQI program guidelines must be completed during new hire orientation prior to working in a clinical setting. TNCC due within 6 months of hire/transfer. Must maintain all certifications required by areas of supervision. Excellent interpersonal skills, verbal and written communication skills. Must possess critical thinking skills and sound decision making and problem solving abilities. Must be service excellence focused (strong customer service and team building skills). Must demonstrate knowledge and ability to work effectively with all levels of personnel. Must possess excellent communication skills and demonstrate team leadership. Must have the ability to problem solve andthink critically. Must possess basic computer application skills. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

ICU

One Brooklyn Health Brooklyn, NY

4 months ago

Registered Nurse (Flex) - Critical Care

Overview Under the supervision of the Nurse Manager, Critical care Nurses provide direct and individualized nursing care to patients based on the application of scientific nursing principles. In addition to general nursing care, responsibilities of Critical care Nurses include (but are not limited to): Assessment: Conducts ongoing focused physical, psychosocial, and pain assessments; includes assessment of patient education needs. Planning : Utilizes the assessment, identifies problems, and makes nursing diagnoses, formulate goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn, and incorporates family into the plan of care. Implementation : Prioritizes and implements an efficient nursing plan of care. Evaluation/Reassessment : Consistently conducts timely evaluations, recognizes changes in patient conditions, determines when reassessments are needed, and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care. Evaluate patient’s response to interventions and communicates with other healthcare team members the need to revise or maintain plan of care. Responsibilities Utilizes the nursing process in taking care of the patient. Assesses condition of the patient and documents findings in EHR. Utilizes principles of Infection Control in the delivery of care. Implements appropriate nursing interventions to facilitate recovery of patient and prevent complications. Evaluate patient’s response to interventions and communicates with other healthcare team members the need to revise or maintain plan of care. Implements discharge planning based on patient care needs. Initiates and documents patient education based on treatment plan in the language that the patient understands. Documents assessment, interventions, changes in the patient’s condition and response to interventions based on hospital policy on documentation. Initiates appropriate actions effectively in an emergent situation. Prioritizes tasks and adjusts priorities, maintain orderly, efficient, and timely flow of patients. Recognizes and reports errors or unusual occurrences, and initiates corrective action when appropriate. Makes accurate, complete, and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicate with all members of the healthcare team, patient, and patient family and then assess, plan, implement and evaluate patient care. Know how to start standard interventions to stabilize the patient. Communicates with colleagues and interdisciplinary team about the prevention, treatment and patient care needs of the patient that has pressure injuries (reports, dietary consults, communicates with physicians). Basic cardiac rhythm monitoring techniques, interpretation, and treatment. Recognizes lethal arrhythmias and acts appropriately. Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology. Recognize the signs and symptoms of cardiopulmonary and respiratory emergencies and knowing how to start standard interventions to stabilize the patient. Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications. Reports adverse reactions to medications or treatments in accordance with the policy. Calculate drug dosage, administering continuous medication infusion, and monitoring patients for effects of medication. IV pump setup. Use of Doppler. Phlebotomy /IV start. Cardio pulmonary monitoring/ Arrhythmia recognition & treatments. Medication Indication, dosage, action, side effects of anti-platelets/ coagulants. Blood and blood product transfusions and assists with Massive blood transfusion. Care of mechanically ventilated. Assisting with Emergency Management. Urinary Catheterization – Male and Female. Start standard interventions to stabilize the patient. Communicates with colleagues and interdisciplinary team about the treatment and patient care needs of the patient that has pressure ulcers (reports, dietary consults, communicates with physicians). Management patient post neuro procedure, or Neuro patient transferring from Surgical intensive care unit. Have knowledge of all vasoactive Drugs such as Vasopressors, Inotropes, Catecholamine, and Adrenergic. Calculate and administer according to the guideline. Monitors and adjusts specialized equipment used on patients, and interprets and records electronic displays, such as intracranial pressures, arterial line pressures, central venous pressures, pulmonary artery pressures, Balloon Pump, Hypo/Hyperthermia machine, CVVHD, Peritoneal Dialysis. Initiates patient education plan, as prescribed by physician. Teach patients and significant others how to manage their illness/injury, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication and rehabilitation. Demonstrates efforts in the prevention of hospital acquired conditions (HAC) CAUTI, CLABSI, Pressure injuries and Falls. Records all patients’ medical information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms. Prepares equipment and assists physician during examination and treatment/procedures of patient at the bedside. Participates in the formulation, review and or revision of departmental policies. Proactively participates in performance improvement initiatives to continuously improve the quality of patient care. Uses hospital resources effectively in providing patient care. Follows the process of reporting broken equipment. Recovering patient after sedation analgesia. Transferring patient to floor after verbal report/electronic report using Hand-off. Involves Patient and family in discharge teaching. Discharge patients safely if out patients. Performs other duties as assigned within the RN scope of practice. Qualifications Education: Internal & 1199 SEIU: Graduate of accredited nursing program(s). Bachelor's degree in Nursing preferred. Non 1199 SEIU Candidates: Bachelor’s degree in Nursing or equivalent to BSN program. Master's degree in Nursing, preferred. Experience: Minimum two (2) years' Telemetry experience required. Minimum one (1) year Critical Care nursing or equivalent experience preferred. Knowledge and Skills: Knowledge of Neuro assessment, and documentation, NIHSS scale. Knowledge of critical lab values. Critical thinking, math, and computer skills; Works as a team player. Demonstrates respect and professionalism in all interactions. Excellent oral and communication skills. Decision making and problem solving. Able to read, write, see and hear English. Licenses, Certifications: Current NY State RN License required. Basic Life Support (BLS) from the American Heart Association, required. Advanced Cardiovascular (ACLS) from the American Heart Association, required. CCRN (required within two (2) years of hire). Basic Arrhythmia Class with Certificate required. Stroke Certification required. Trauma Care After Resuscitation (TCAR) required. Physical Requirements: Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day. Position will be required to stoops, bends, lifts, carry items weighing up to 35 pounds for routine performance of essential functions. An individual in this position may be exposed to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions. Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients. Manual and finger dexterity, as well as hand and eye coordination. Corrected vision and hearing to within normal range Frequently sitting at desk working on computer Ability to flex working hours. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.

Wound Care

Registered Nurse RN Wound Care

Banner Health Tucson, AZ

Primary City/State: Tucson, Arizona Department Name: Wound Care-Hosp Work Shift: Day Job Category: Nursing Nursing careers are better at Banner Health. We’ve built smarter processes to help nurses focus on what really matters. If you want to make a difference in people’s lives - this could be the opportunity you’ve been waiting for. At Banner University Medical Center - Tucson , there will be exciting opportunities to be a part of the health care transformation. We are known nationally as an innovative leader in new health care models, a Level 1 Trauma and Academic Medical Center in Southern Arizona and are on the cutting edge of medical advances. You will work alongside a group of dedicated physicians and staff that perform some of the most state-of-the-art procedures that exist anywhere in the country. As a Registered Nurse Wound Care you will get the opportunity to be a part of a dedicated, close-knit team that does consults and treatment in a Level I Trauma Facility. This is a full-time, Day Shift position, scheduling is flexible between working four, 9-hour shifts . You will be cross trained to work at either Banner University Medical Center Tucson campus or Banner University Medical Center South Tucson campus. Our Wound Care team provides proven treatment to heal a variety of chronic wounds. You'll get the opportunity to work alongside a dedicated team, working with the latest in equipment and technology. We are looking for someone who can both work autonomously and self-directed while balancing that with working on a team. This is a team of 5 who are highly autonomous in their practice but depend on each other to be successful as a team. These team members also teach wound care classes to bedside nurses so presentation skills will be important. Our ideal candidate would be certified but we are open to those who are uncertified with wound care background. Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life. Banner - University Medical Center Tucson is nationally recognized for providing exceptional patient care, teaching future health-care professionals and conducting groundbreaking research. Also located on the campus is Diamond Children's - recognized for its specialized pediatric services including neonatal and intensive care, emergency medicine and cancer therapies. Banner - University Medical Center Tucson is a Level 1 Trauma Center, meaning we care for the most critically injured patients. The hospital is consistently listed among the nation's top hospitals in the prestigious Best Hospitals ranking by U.S. News & World Report. The academic medical center has earned Magnet Recognition becoming the only hospital in southern Arizona to meet the rigorous standards of the American Nurses Credentialing Center’s Magnet Recognition Program® for nursing excellence. The hospital's physicians are full-time faculty of the University of Arizona College of Medicine - Tucson. Our specialty services include comprehensive heart and cancer care, advanced neuroscience techniques and a multi-organ transplant program. 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, and BUMG, BUMCT, or BUMCS 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 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 the Banner McKee Senior Behavioral Health Inpatient Unit must possess an Colorado 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. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

CNA

Good Shepherd Rehabilitation Philadelphia, PA

Certified Nursing Assistant

JOB SUMMARY The certified nursing assistant is an integral member of the health care team who delivers quality care through collaboration and communication with team members. They work under the direct supervision of the registered nurse to support and assist the nurse in the delivery of quality care to patients and families. Some of the major responsibilities will include collection and reporting of patient data, incorporating organizational competencies of superior quality care and assuming responsibility and accountability for their role performance outcomes while supporting GSPP's Standards of Excellence. ESSENTIAL FUNCTIONS PATIENT / CUSTOMER Essential Accountabilities Report Receives written/verbal report at the beginning of each shift from the registered nurse (RN) regarding the care that is to be delivered to the assigned group of patients, or for patient needing constant observation. Gives report when leaving unit, and at the completion of the shift regarding the care that was delivered; any abnormalities that occur during the shift are to be reported as they occur to the RN as well as to the oncoming CNA. Assists in Assessment Identifies the patient per hospital policy before carrying out functions. Assists with data collection for nursing history and physical e.g. vital signs, ht. wt, blood sugar results, functional status and communicates changes to the RN in a timely fashion. Participates in respectful communication with patients, families and coworkers. Provides patient and family information to the registered nurse for coordination of care and discharge planning. Observes skin changes and reports discoloration, abrasions, infestations or skin breakdown. Planning Assists in setting mutually agreed upon realistic individual patient goals. Integrates the RN’s directions re: the patient’s plan of care into the care given to the patient. Gives RN report before the end of the shift regarding the patient’s response to the plan of care issues, and at various times during the shift to report unusual findings e.g. abnormal blood sugar results, vital sign changes, pain etc. Intervention Promotes infection control by using the appropriate hand washing techniques. Follows standard precautions and any other isolation precautions as dictated by the patient’s condition. Maintains a safe environment and protects the patient from injury by observing the patient who may be at risk for falls, confusion, disorientation, wandering or suicidal behaviors; follows Constant Observation Policy. Applies and monitors patients in restraints per policy and per medical order. Observes or monitors behavior/health state and responses to therapy. Temperature, Pulse, Respiration Blood Pressure Neurological Checks Vascular Checks Height and Weight Intake and Output Bowel and Bladder Function Checks Pain Communicates pertinent observations to appropriate members of the health care team in a timely fashion. Participates in multidisciplinary rounds on the patient care unit. Performs patient care rounds per unit policy. Participates in staff and unit council meetings. Works in collaboration with all members of the healthcare team. Reports findings to nurse concerning the patient and or family which may impact patient care. Performs or assists the patient with activities of daily living such as bathing, (bed, tub, shower) grooming, eating, feeding, range of motion, ambulating, transferring and oral hygiene. Participates in the prevention and treatment of skin breakdown. Applies current accepted methods of heat and cold therapy as directed by the nurse. Provides for the patient’s oral dietary needs using currently accepted methods. Provides for the elimination needs by giving a bed pan, urinal, emptying urinary and or bowel appliances or implementing the bowel program under the direction of the RN. Assists with colostomy irrigations. Assists with vaginal irrigations. Applies urosheath/condom catheter. Removes foley catheter as directed by the nurse and monitors urinary output as directed. Administers cleansing enemas as ordered. Performs post mortem care. Assists the physician to perform physical exams. Assists with oxygen therapy only and does not regulate the flow of oxygen. Encourage the use of the pulmonary toilet by using the incentive spirometer, coughing, turning and deep breathing. Utilizes the appropriate equipment for patient lifting. Reinforces health care instruction to patients according to the directions of the nurse. Displays competence in using the following equipment and reports findings to the registered nurse: Pulse oximeter Bladder scanner 12 Lead ECG Data Scope Electric Fetal Monitor (as applicable) Glucometer Foley removal Lift and transfer devices Performs continuous bladder irrigations per direction of RN Performs or assists the patient with activities of daily living such as bathing, (bed, tub, shower) grooming, eating, feeding, range of motion, ambulating, transferring and oral hygiene. Participates in the prevention and treatment of skin breakdown. Applies current accepted methods of heat and cold therapy as directed by the nurse. Provides for the patient’s oral dietary needs using currently accepted methods. Provides for the elimination needs by giving a bed pan, urinal, emptying urinary and or bowel appliances or implementing the bowel program under the direction of the RN. Assists with colostomy irrigations. Assists with vaginal irrigations. Applies urosheath/condom catheter. Removes foley catheter as directed by the nurse and Monitors urinary output as directed. Administers cleansing enemas as ordered. Performs post mortem care. Assists the physician to perform physical exams. nurse: Pulse oximeter Assists with oxygen therapy only and does not regulate the flow of oxygen. Encourage the use of the pulmonary toilet by using the incentive spirometer, coughing, turning and deep breathing. Utilizes the appropriate equipment for patient lifting. Reinforces health care instruction to patients according to the directions of the nurse. Displays competence in using the following equipment and reports findings to the registered nurse: Pulse oximeter Bladder scanner 12 Lead ECG Data Scope Electric Fetal Monitor (as applicable) Glucometer Foley removal Lift and transfer devices Glucometer iStat Point of Care blood analyzer. Performs POCT for only those assays for which authorized based on training and competency validation. Follows all Lab procedures related to specimen handling, processing, test analysis and results reporting. Follows all relevant safety protocols Performs proficiency testing in the same manner as patient testing Adheres to all quality control policies, instrument maintenance and associated documentation requirements Recognizes test problems that may affect test results and notifies appropriate supervisor As appropriate, follows lab’s corrective action policies when test system performance does not meet specification. Performs continuous bladder irrigations per direction of RN Performs Phlebotomy as per protocols (after required training is completed) General Ensures communication and collaboration with supervisors and fellow co-workers to serve patients and other customers to the best of his/her ability. Is professional in all actions and appearance Anticipates patients’/customers’ needs and acts accordingly. Works to enhance patient satisfaction Analyzes problems from the customers’ point of view. Honors patient/customer/employee confidentiality. Seeks feedback on how to improve performance and offers constructive feedback, as well. Assist patients and families Applies learning for improved performance. Demonstrates understanding and ownership of how his/her role contributes to achieving the success of the Department and the Health System. Demonstrates a personal commitment to ensuring a clean and safe working environment. Uses resources wisely – as if they were one’s own. Documentation Documents findings, interventions and patient outcome results on patient documents. This may include I&O, VS, Bladder scanner results, pulse ox results, glucometer results or other findings. Documents using complete signature, status “CNA” and date and time on all charted entries. Evaluation Assists in evaluating nursing care given by comparing the patient's functional status from day to day and discussing this with the nurse. PATIENT/ EMPLOYEE SAFETY ACCOUNTABILITIES Non-Patient Care Participates in Entity and Department wide initiatives for Patient /Employee safety Demonstrates an awareness of patient/ employee safety when carrying out daily responsibilities of their position. Patient Care Providers Participates in Entity and Department wide initiatives for Patient /Employee safety Demonstrates an awareness of patient/ employee safety when carrying out daily responsibilities of their position. Validation of annual competencies required for the position Identifies the patient per policy i.e. uses two identifiers. Aware of the Safe Medical Devise Act. Aware of the Material Safety Data Sheet. Carries out fire and safety regulation. Identifies where the oxygen safety valve is located. Makes occupied or unoccupied bed. Cleans and restocks equipment as needed. Observes radiation precautions. Observes chemotherapy precautions Demonstrates proper body mechanics when moving and lifting. Alerts the nurse to the sounding of alarms. Does not change settings or rates on equipment. Follows HIPAA policies in regard to the use of disclosure of an amendment to Protect Health Information (PHI). Knows limits of responsibilities and seeks guidance as appropriate. Identifies emergency equipment on the unit. Accepts reassignments to other units as directed by the OPERATIONS Essential Accountabilities Avoids wasting of supplies Keeps work area and patient rooms neat and organized Reports to work on time and leaves work on time (15 minute grace period prior to after the scheduled reporting and departing times) Uses the time clock to accurately punch in for work and punch out when leaving Observes break time and lunch time policies QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education High school diploma required Certified nursing assistant program completion required Work Experience Previous healthcare experience preferred Licenses / Certifications BLS / CPR for a healthcare provider, per the American Heart Association required Certified Nursing Assistant designation required

Per Diem

7 months ago

TMC BONHAM HOUSE SUPV (RN)

UHS Bonham, TX

Responsibilities This opportunity is a PRN position, and offers a flexible schedule. There is opportunity for overtime and to cover various shifts if interested! TMC Bonham Hospital is a 25-bed critical access hospital that includes both primary care and specialty physicians. The Critical Access Hospital, offering both inpatient and outpatient services along with 24-hour emergency services. The Critical Access Hospital (CAH) Program was established to assure access to healthcare services for rural residents. The program provides rural acute care hospitals with a range of opportunities for service enhancement and quality of care improvement. Quality healthcare and patient safety is our goal. Delivering the right care at the right time in the right setting is the core mission of a critical access hospital. We are committed to improve the quality of care we deliver every day. TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS. The basic purpose of nursing is to provide safe, competent nursing care for patients in accordance with facility policies, standards, and philosophy. Additionally, nursing will provide professional leadership and support to the healthcare team. The concepts of Patient Centered Care will provide the foundation for all nursing care. Demonstrates Service Excellence standards at all times. The Standards of Practice set forth by the professional nursing associations will provide guidelines for the competent, safe and professional practice. Benefits available for our Registered Nurse (RN) include: Tuition Assistance Career Development opportunities Flexible Scheduling HealthStream online learning catalogue with plenty of free CEU courses Challenging and rewarding work environment Competitive Compensation and generous Paid Time Off (PTO) Excellent Medical, Dental, Vision and Prescription Drug plan 401K with company match and discounted stock plan Pet Insurance SoFI Student Loan Refinancing Program More information is available on our Benefits Guest Website: benefits.uhsguest.com If you would like to learn more about the Registered Nurse (RN) position before applying, please contact one of our nurse recruiters at (903) 416-4050 What do our current nurses value at Texoma Medical Center & UHS? A safe and supportive environment that puts patient care first and values the nursing profession. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. You are never alone, as you are part of a large, nationwide network of peer nurses and nursing leaders that educate the field, routinely exchange ideas, and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career through our Charge, Supervisor and Nurse Manager-in-training programs and nursing executive tract. We are proud of our robust continuing education options and opportunities for skills diversification and career advancement as a Registered Nurse (RN) with UHS. We want to help you succeed and grow in your profession and enjoy a sense of belonging and trust that comes through your expanding experience. At UHS, we are a System of Care, and you have a voice. Who we are: One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Qualifications The House Supervisor is an extension of administrative functions, serving as role model and resource person. Assume shift responsibility and accountablility for the planning and provision of direct and indirect nursing care to the patient, family, care partner and appropriate others. Coordinates multi-disciplinary team members, directs and facilitates nursing staff in obtaining safe, optimal healthcare outcomes. Supports activities that meet the facility vision, mission and goals. Provides professional leadership and support to the healthcare team. Oversees and guides employees that are under his/her supervision. Demonstrate professionalism and service excellence standards at all times. Registered Nurse (RN) Job Requirements: Current Texas nursing license or compact license. BSN/ MSN preferred Three years experience in acute care nursing. One year charge nurse or supervisory experience preferred. Must maintain all clinical competencies for area of supervison. BLS (Basic Life Support), ACLS and PALS Healthcare Provider course according to RQI program guidelines must be completed during new hire orientation prior to working in a clinical setting. TNCC due within 6 months of hire/transfer. Must maintain all certifications required by areas of supervision. Excellent interpersonal skills, verbal and written communication skills. Must possess critical thinking skills and sound decision making and problem solving abilities. Must be service excellence focused (strong customer service and team building skills). Must demonstrate knowledge and ability to work effectively with all levels of personnel. Must possess excellent communication skills and demonstrate team leadership. Must have the ability to problem solve andthink critically. Must possess basic computer application skills. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Nurse Practitioner, Mental Health Counselor, Echo Cliffs - $25K Sign On Bonus

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 incumbent will provide therapeutic mental health services to individuals, families, and groups. Treatment and assessment techniques will need to encompass a broad range of mental health concerns; including, but not limited to depression, mania, anxiety disorders, PTSD, psychosis, substance abuse, and suicidality. The incumbent will develop and implement therapeutic treatment plans in the clinical setting as well as conducting educational workshops and participating in outreach programs. Qualifications NECESSARY QUALIFICATIONS Education: Master’s Degree (M.A.) in areas of Psychology, Social Work, Counseling, Marriage and Family Therapy or related mental health field. Certification: Must be a licensed professional practicing in the field of Mental Health licensed by the Arizona Board of Behavioral Health Examiner’s or other states that allow transfer of credentialing to Arizona Experience: Completion of supervision hours required for independent licensure (typically 50-100 hours depending on the specific degree and state) 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 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. Thorough knowledge of the psychological disorders as defined in the Diagnostic and Statistical Manual of the Mental Disorders (DSM-V). Ability to use computers and navigate the electronic medical record Able to respond appropriately in stressful situations Able to provide direct patient care in a kind, patient, and compassionate manner TCRHCC that the applicant can perform the essential functions of the job Completion of and, above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job 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, applications, 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: Must be able to sit at a desk for long periods of time. Some physical exertion such as long hours of standing and walking is required. Must have ability of prolonged driving. Sensory requirements for position include prolonged ability of near vision, seeing fine details, hearing normal speech, hearing overhead pages, and telephone use. Must have ability of continued use of keyboards. Mental: Child/Family Mental Health Psychiatric Nurse Practitioner must possess and demonstrate a broad knowledge of mental health treatment, functions and activities, effectively integrating mental health treatments with medical and community health activities. Must be able to prioritize and use good judgment. Incumbent must be able to coordinate a variety of issues while being frequently interrupted. Must have ability to continually cope with high level of stress, make decisions under high pressure, cope with anger/fear/hostility of others in a calm way, manage altercations, concentrate, handle a high degree of flexibility, handle multiple priorities in stressful situations, work alone, demonstrate high degree of patience, and work in areas that are close and crowded. Must be able to occasionally adapt to shift work and continually accept a flexible schedule to meet unit needs. Environmental : May continually be exposed to infectious diseases. Responsibilities ESSENTIAL FUNCTIONS Provides diagnostic, treatment, and referral services for psychiatric patients. Conducts individual, family, and group psychotherapy using evidence-based modalities Coordinates services to patients with psychiatrist and other mental health personnel. Conducts intakes and administers diagnostic tests (if applicable) in order to identify behavioral and personality traits and documents results. Plans and administers therapeutic treatment such as behavior modification, social skills, anger management and stress management therapy to assist patients in controlling disorders and other problems. Provides crisis intervention services to clients with a wide variety of acute mental health problems, including suicide attempts, family conflicts, alcohol misuse, drug abuse, grief reactions, and trauma resulting from violence. Provides follow-up on patients who have recently been discharged from inpatient psychiatric facility and those with poor adherence to treatment plan. Maintains all appropriate client records according to professional and departmental policies. On-call coverage is provided on a schedule coordinated with the emergency room. Takes rotation along with rest of staff. Works closely with the Navajo Tribal Division of Social Services, law enforcement and other agencies to coordinate services for mental health patients who have serious family and other social problems. Refers patients to supportive services to supplement treatment and counseling when needed. Responsible for electronic health records data entry pertinent to patient service role. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives. Ensure proper PPE is worn at all times while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering face piece 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. (see 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 Performs other duties as assigned.

Med-Surg

PCU

Registered Nurse RN Medical Surgical PCU

Banner Health Tucson, AZ

Primary City/State: Tucson, Arizona Department Name: PCU T3 3NE Work Shift: Day Job Category: Nursing Banner Health is proud to have earned the Great Place To Work® Certification™, a recognition based on direct feedback from our team members and a thorough, independent evaluation. This certification underscores our dedication to fostering a culture built on trust, collaboration and pride - an environment where team members feel valued, supported and inspired every day. At Banner University Medical Center, there will be exciting opportunities to be a part of the health care transformation. You will work alongside a group of dedicated physicians and staff that perform some of the most state-of-the-art procedures that exist anywhere in the country. Virtually tour one of the state-of-the-art units at Banner-University Medical Center Tucson . For this role you have an exciting opportunity to be part of a new PCU unit, opening April 2027. As a RN on this unit, you will be caring for a wide variety of medical and surgical patients, many with complex needs and multiple co-morbidities. You will work with a multitude of service lines such as, but not limited to, cardiology, infectious disease, pulmonology, vascular surgery, internal medicine, psychiatry, gastroenterology, nephrology, and trauma. This is a fast-paced unit and is a great place to build on your skills. Candidates will orient on another PCU unit and then move into their home unit when it opens next year. Full-time: 36 hours per week, 3 12-Hour Shifts Day Shift: 7:00 AM - 7:30 PM Must be available to work Holidays/Weekends Enjoy a flat rate $3/hour weekend shift differential and an 18%-night shift differential, where applicable. Your pay and benefits are important components of your journey at Banner Health. Banner Health offers a variety of benefits to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life. If you are a New Graduate Nurse with less than 12 months of experience, please visit the main job search page and use keywords RN New Grad to search for openings. Banner - University Medical Center Tucson is nationally recognized for providing exceptional patient care, teaching future health-care professionals and conducting groundbreaking research. Also located on the campus is Diamond Children's - recognized for its specialized pediatric services including neonatal and intensive care, emergency medicine and cancer therapies. Banner - University Medical Center Tucson is a Level 1 Trauma Center, meaning we care for the most critically injured patients. The hospital is consistently listed among the nation's top hospitals in the prestigious Best Hospitals ranking by U.S. News & World Report. The academic medical center has earned Magnet Recognition becoming the only hospital in southern Arizona to meet the rigorous standards of the American Nurses Credentialing Center’s Magnet Recognition Program® for nursing excellence. The hospital's physicians are full-time faculty of the University of Arizona College of Medicine - Tucson. Our specialty services include comprehensive heart and cancer care, advanced neuroscience techniques and a multi-organ transplant program. 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. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

Part-time

Stormont-Vail HealthCare Topeka, KS

Specialty Registered Nurse - Cath Lab/IR - PT - Day

Position Status: Part time Shift: 12 Hour Day Shift (United States of America) Hours per week: 24 Job Information Exemption Status: Non-Exempt A Brief Overview Specialty Registered Nurse (RN) assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients through the therapeutic use of self, the nursing process, the environment/instrumentation, and other health care team members. These nurses work in ambulatory/acute care setting administering hi-risk medications and/or sedations. These nurses provide care in the hospital setting. Cardiac and vascular nursing is a specialty within the nursing profession that encompasses the care of individuals across the life span who are undergoing a surgical procedure or procedure requiring sedation/anesthesia. Cardiac and vascular nursing incorporates the pre-procedure care, acute post-operative care, and care for a subset of inpatients. The Cardiac and vascular nurse will use a comprehensive, multidisciplinary approach to patient care. Nursing care can range from routine, elective procedures to highly complex procedures to direct admits and transfers. These nurses have adapted nursing process to include strict adherence to the procedural safety checklists, titratable infusions, post-operative airway, pain, nausea, and arterial and venous access site management. Cardiac and vascular nurses will educate patients about post-operative care management and provide same day discharge instructions for outpatients and continued care for inpatients. The delivery of professional nursing care at Stormont Vail Health is guided by Jean Watson's Theory of Human Caring and the theory of Shared governance, both of which are congruent with the mission, vision, and values of the organization. Education Qualifications Bachelor's Degree Bachelor's of Science in Nursing (BSN) Preferred Experience Qualifications Experience in a clinic setting. Preferred Skills and Abilities Demonstrates awareness and sensitivity to rights of patient/significant other, as identified within the institution. (Required proficiency) Demonstrates awareness and application of safety issues as identified within the institution. (Required proficiency) Demonstrates awareness of legal issues in all aspects of patient care and departmental functioning. Strives to manage situations in a manner, which minimizes risk to the patient and the institution. (Required proficiency) Demonstrates competency in selected psychomotor skills. (Required proficiency) Ability to communicate effectively using verbal, non-verbal and written methods. (Required proficiency) Ability to perform mathematical calculations related to medication administration and equipment calibration. Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. (Required proficiency) Licenses and Certifications Registered Nurse - KSBN Required Basic Life Support - BLS RQI or other certifications may be required in lieu of or in addition to BLS depending on department. Must have within 90 days of hire. Advanced Cardiovascular Life Support - ACLS Must have within 90 days of hire. Pediatric Advanced Life Support - PALS Must have within 90 days of hire. What you will do Provides direct patient care as defined within the scope of the state’s nurse practice act. Performs assessment/data collection in an ongoing and systematic manner, focusing on physiological and cognitive status. Administers prescribed medications, infusions, titrate cardiac and anticoagulant infusions, and/or treatments in accordance with nursing standards. Formulates a prioritized and goal directed plan of care for inpatients, which is based on patient’s presenting problems and projected outcomes. Implements care in a knowledgeable, skillful, consistent manner, while promoting the continuum of care. Functions to establish priorities of patient care based on essential patient needs and available unit resources of time, personnel, equipment and supplies. Prepares equipment and aids provider during treatment, examination and testing of patients. Evaluates the effectiveness of the health care process (self, systems, environment, and instrumentation) in meeting outcomes. Observes, records, and reports patient’s condition and reaction to drugs and treatments to provider. Provides medication as directed. Documents in patient and department records in a timely, accurate and concise manner according to department standards. Maintains and reviews patient records, charts, and other pertinent information. Compiles tests and examination results. Monitoring patients’ level of consciousness throughout and side effects of sedation/anesthesia recovery, complications from cardiac, interventional and diagnostic radiology procedures, including bleeding. Monitoring for Assists Cardiologist, Radiologists, and APP’s to conduct laboratory test results, cardiac stress tests, stress echocardiograms, CT coronary cardiograms, and cardiac rhythm interpretation. Treating pain, nausea, and other post-procedure symptoms of anesthesia. Evaluates the patient’s progress towards achieving outcomes. Performs efficiently in emergency patient situations following established standards of care. Practices effective problem identification and resolution as a method of sound decision making. Greets patients and prepares them for provider examination. Collects patient history information. Instruct patients in collection of samples and tests. Triages and refers incoming telephone calls. Instructs patient and family regarding medications and treatment instructions. Participates in system wide/department patient care quality improvement activities as well as standards development. Participates actively in clinical education activities, including orientation of new employees and teaching student nurses. Participates in nursing research activities. Participates in development and attainment of system wide/department hospital goals. Delegates tasks and duties in the direction and coordination of health care team members, patient care and department activities in accordance with the Kansas State Nurse Practice Act. Seeks validation of knowledge base, skill level and decision making as necessary and assertively seeks guidance in areas of question. As requested this position will float to the hospital to perform Registered Nurse duties. Adheres to staffing and scheduling practices. Adheres to Universal Protocol and completes surgical safety checklists. Completes pre-operative care and tasks to pre procedure orders and safety protocols. Utilizes Aldrete score. Educates on post operative discharge instructions. Required for All Jobs Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health Performs other duties as assigned Patient Facing Options Position is Patient Facing Remote Work Guidelines Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards. Stable access to electricity and a minimum of 25mb upload and internet speed. Dedicate full attention to the job duties and communication with others during working hours. Adhere to break and attendance schedules agreed upon with supervisor. Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually. Remote Work Capability On-Site; No Remote Scope No Supervisory Responsibility No Budget Responsibility Physical Demands Balancing: Occasionally 1-3 Hours Carrying: Occasionally 1-3 Hours Climbing (Ladders): Occasionally 1-3 Hours Climbing (Stairs): Occasionally 1-3 Hours Crawling: Occasionally 1-3 Hours Crouching: Occasionally 1-3 Hours Eye/Hand/Foot Coordination: Frequently 3-5 Hours Feeling: Frequently 3-5 Hours Grasping (Fine Motor): Frequently 3-5 Hours Grasping (Gross Hand): Frequently 3-5 Hours Handling: Frequently 3-5 Hours Hearing: Frequently 3-5 Hours Kneeling: Occasionally 1-3 Hours Lifting: Occasionally 1-3 Hours up to 50 lbs Operate Foot Controls: Occasionally 1-3 Hours Pulling: Occasionally 1-3 Hours up to 25 lbs Pushing: Occasionally 1-3 Hours up to 25 lbs Reaching (Forward): Occasionally 1-3 Hours up to 25 lbs Reaching (Overhead): Occasionally 1-3 Hours up to 25 lbs Repetitive Motions: Occasionally 1-3 Hours Sitting: Occasionally 1-3 Hours Standing: Occasionally 1-3 Hours Stooping: Occasionally 1-3 Hours Talking: Occasionally 1-3 Hours Walking: Occasionally 1-3 Hours Working Conditions Burn: Rarely less than 1 hour Chemical: Rarely less than 1 hour Combative Patients: Occasionally 1-3 Hours Dusts: Rarely less than 1 hour Electrical: Rarely less than 1 hour Explosive: Rarely less than 1 hour Extreme Temperatures: Rarely less than 1 hour Infectious Diseases: Occasionally 1-3 Hours Mechanical: Rarely less than 1 hour Needle Stick: Frequently 3-5 Hours Noise/Sounds: Frequently 3-5 Hours Other Atmospheric Conditions: Rarely less than 1 hour Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour Radiant Energy: Rarely less than 1 hour Risk of Exposure to Blood and Body Fluids: Occasionally 1-3 Hours Risk of Exposure to Hazardous Drugs: Occasionally 1-3 Hours Hazards (other): Rarely less than 1 hour Vibration: Rarely less than 1 hour Wet and/or Humid: Rarely less than 1 hour Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment. Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.

Med-Surg

PCU