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Nursing Assistant

Appalachian Regional Healthcare Prestonsburg, KY

Clinical Nurse Manager

Appalachian Regional Healthcare Hazard, KY

Overview The Clinical Nurse Manager is responsible and accountable for the supervision of nursing services to ensure the delivery of safe, effective, and efficient patient care. As a member of the Management Team, this position is responsible for assigning, assessing, planning, implementing, and evaluating clinical care within the assigned nursing unit(s). Performance in this role is evaluated using objective and measurable criteria, including the development, competency, and performance of registered nurses, licensed practical nurses, and other personnel assigned to the unit(s) under the Clinical Nurse Manager’s supervision. The Clinical Nurse Manager reports to the Nurse Manager or designee and provides direct supervision to registered nurses, licensed practical nurses, nurse aides, nursing service clerks, monitor technicians, and other assigned personnel. This position maintains frequent interaction with employees, patients, patients' families, visitors, and members of the medical staff. Responsibilities Develop, implement, and evaluate unit goals, objectives, policies, procedures, and standards of care that contribute to the achievement of departmental objectives. Oversee and coordinate the activities and job duties of assigned personnel to achieve quality outcomes, customer/patient satisfaction, cost-effectiveness, and compliance with budgetary objectives. Incorporate Total Quality Management principles into daily operations and patient care activities. Assign work to registered nurses, licensed practical nurses, nurse aides, unit clerks, monitor technicians, and other personnel as needed to meet patient care objectives. Ensure continuity of patient care through effective staffing assignments based on staff competency, education, training, and patient care needs. Develop effective communication among personnel, physicians, and other employees to promote continuity, coordination, and collaboration in healthcare delivery. Maintain proficiency in applicable technologies and make informed recommendations regarding new services, products, and equipment. Interview, select, evaluate, discipline, and terminate personnel, or recommend such actions, in accordance with hospital policies and procedures. Ensure assigned employees receive appropriate orientation and required in-service education to maintain licensure, certification, and competency. Maintain personnel records and related documentation as required. Develop and manage work schedules, including vacations, leaves of absence, call-ins, call-offs, and other staffing needs. Direct and supervise employee relations activities within the assigned unit(s). Attend management meetings and participate in the development of management and supervisory policies and procedures. Apply advanced clinical knowledge and serve as a role model and resource to nursing staff, including providing direct patient care as necessary. Direct, oversee, and assist in the delivery of patient care. Assist during emergency situations as needed. Train new and existing personnel through instruction and demonstration of safe and effective work practices. Assist assigned personnel in performing tasks and procedures when needed. Assist staff in the adjustment, operation, or testing of new equipment during installation and implementation periods. Provide support to assigned personnel to ensure patient care needs are met without interruption. Fill staffing gaps as needed to maintain safe patient care until additional personnel are available. Perform or assist with clinical treatments, procedures, and total patient care that require advanced skills and professional judgment in accordance with established standards of care. Perform patient care duties not otherwise assigned. Perform other related duties as assigned. Qualifications Required Education Graduate of an approved school of nursing and maintain a current, unrestricted nursing license in the state of employment. Preferred Education Bachelor of Science in Nursing (BSN) or Master of Science in Nursing (MSN) preferred. Required Experience Minimum of two (2) years of relevant nursing experience with demonstrated management potential and proficient clinical skills. Preferred Experience Five (5) years of relevant nursing experience preferred.

Clinical Nurse Manager

Appalachian Regional Healthcare Prestonsburg, KY

Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities • Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies. • Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care. • Participates in the ongoing assessment of the quality of patient care services provided on the unit, in collaboration with other members of the management team. • Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service. • Supports a patient-first philosophy and engages in service recovery when necessary. • Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift report and other initiatives. • Provides recommendations related to interviewing, selecting, and training new staff. • Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization. • Assists with staff scheduling. • Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines. • Supports proper inventory control and assists with managing supplies and equipment. • Works with medical staff to coordinate management of patient care. • Shows leadership and initiative in situations where supervision is not present or required. • Appropriately escalates problems relating to rules and regulations in a timely and effective manner. Qualifications Education • Associate's Degree in Nursing Required • Bachelor's Degree in Nursing Preferred Experience • 1-3 years • Minimum of 1 year clinical experience required. • 2 years preferred. Required Required Skills, Knowledge & Abilities • Evidence of leadership experience abilities required. • Knowledge of general nursing principles and practice skills. • Knowledge of organizational functions, policies and regulations. • Applicable knowledge of technical skills related to worked clinical area. Licenses & Certifications • Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence. Required • BLS Required • ACLS within six (6) months of hire (ED, Critical Care, OR and Specialty Areas/Units Only) Required • PALS within six (6) months of hire (ED, OR, Med/Surg Peds) Required • NRP and AWHONN fetal monitoring w/in six (6) months (Maternal/Child Only) Required • TNCC within six (6) months of hire (ED Only) Required • De-Escalation Training within six (6) months of hire (all units) Required • Professional Nursing Certification Preferred

LPN

Other

1 year ago

Appalachian Regional Healthcare West Liberty, KY

Overview The Clinical Nurse Manager is responsible and accountable for the supervision of nursing services to ensure the delivery of safe, effective, and efficient patient care. As a member of the Management Team, this position is responsible for assigning, assessing, planning, implementing, and evaluating clinical care within the assigned nursing unit(s). Performance in this role is evaluated using objective and measurable criteria, including the development, competency, and performance of registered nurses, licensed practical nurses, and other personnel assigned to the unit(s) under the Clinical Nurse Manager’s supervision. The Clinical Nurse Manager reports to the Nurse Manager or designee and provides direct supervision to registered nurses, licensed practical nurses, nurse aides, nursing service clerks, monitor technicians, and other assigned personnel. This position maintains frequent interaction with employees, patients, patients' families, visitors, and members of the medical staff. Special Instructions Would like for nurse to have 1 year of Med Surg experience Responsibilities Develop, implement, and evaluate unit goals, objectives, policies, procedures, and standards of care that contribute to the achievement of departmental objectives. Oversee and coordinate the activities and job duties of assigned personnel to achieve quality outcomes, customer/patient satisfaction, cost-effectiveness, and compliance with budgetary objectives. Incorporate Total Quality Management principles into daily operations and patient care activities. Assign work to registered nurses, licensed practical nurses, nurse aides, unit clerks, monitor technicians, and other personnel as needed to meet patient care objectives. Ensure continuity of patient care through effective staffing assignments based on staff competency, education, training, and patient care needs. Develop effective communication among personnel, physicians, and other employees to promote continuity, coordination, and collaboration in healthcare delivery. Maintain proficiency in applicable technologies and make informed recommendations regarding new services, products, and equipment. Interview, select, evaluate, discipline, and terminate personnel, or recommend such actions, in accordance with hospital policies and procedures. Ensure assigned employees receive appropriate orientation and required in-service education to maintain licensure, certification, and competency. Maintain personnel records and related documentation as required. Develop and manage work schedules, including vacations, leaves of absence, call-ins, call-offs, and other staffing needs. Direct and supervise employee relations activities within the assigned unit(s). Attend management meetings and participate in the development of management and supervisory policies and procedures. Apply advanced clinical knowledge and serve as a role model and resource to nursing staff, including providing direct patient care as necessary. Direct, oversee, and assist in the delivery of patient care. Assist during emergency situations as needed. Train new and existing personnel through instruction and demonstration of safe and effective work practices. Assist assigned personnel in performing tasks and procedures when needed. Assist staff in the adjustment, operation, or testing of new equipment during installation and implementation periods. Provide support to assigned personnel to ensure patient care needs are met without interruption. Fill staffing gaps as needed to maintain safe patient care until additional personnel are available. Perform or assist with clinical treatments, procedures, and total patient care that require advanced skills and professional judgment in accordance with established standards of care. Perform patient care duties not otherwise assigned. Perform other related duties as assigned. Qualifications Required Education Graduate of an approved school of nursing and maintain a current, unrestricted nursing license in the state of employment. Preferred Education Bachelor of Science in Nursing (BSN) or Master of Science in Nursing (MSN) preferred. Required Experience Minimum of two (2) years of relevant nursing experience with demonstrated management potential and proficient clinical skills. Preferred Experience Five (5) years of relevant nursing experience preferred.

RN

Other

1 year ago

Registered Nurse

Appalachian Regional Healthcare West Liberty, KY

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Training for all personnel assigned to the Emergency Room shall consist of the following: State and federal regulations related to emergency services. Nursing management of trauma. Nursing management of cardiac related disorders. Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention. Pharmacological intervention (IV therapy). Patient assessment (triage). Nursing management of pediatric emergencies. Medicolegal aspects, particularly related to proper documentation. Nursing management of obstetrical emergencies. Patient/family emotional response. Cardiopulmonary resuscitation and airway management. Qualifications Education Associate's Degree - Graduation from an accredited school of nursing. Required Bachelor's Degree Preferred Experience Up to 1 year Preferred Minimum of one (1) year acute care nursing experience. One (1) year of experience should be relevant to the specific department in which they will be working. Refer to addendums for additional requirements. Experience with Electronic Health Record Preferred. Skills & Abilities Excellent interpersonal skills and ability to work with providers at all levels essential. Able to communicate clearly in writing and verbally and effectively influence others to achieve necessary outcomes. Demonstrated ability to follow direction and facilitate a working environment conducive to change, enabling positive outcomes in a highly complex system. Exhibit Critical Thinking Skills. Must possess basic computer skills. Ability to pass Medication Exam. Training Requirements Completion of hospital approved training program and documented competence in emergency care procedures as determined by the Director of Nursing Services. Moderate Sedation. Completion of Stroke Modules. Restraints. The nurse shall be adequately oriented to the unit policies, procedures, and equipment. Orientation shall include safety procedures, infection control practices, and performance improvement monitoring. Licensure & Certifications Registered Nurse in State Required BLS Required De-Escalation Training within 6 months of hire Required ACLS Required Trauma Nurse Core Curriculum Certification Required Pediatric Advanced Life Support Certification Required NIH Stroke Certification Required Advanced Dysrhythmia/EKG Required Rural Trauma Team Development Course Preferred Emergency Nurse Pediatric Course Preferred

RN

Other

1 year ago

House Nurse Coordinator

Appalachian Regional Healthcare Paintsville, KY

Overview The House Nurse Coordinator is accountable for the management of nursing services on a given shift under the guidance of the Director of Nursing Services in order to provide safe, effective and efficient nursing care. Responsibilities Manage nursing services on the assigned shift in an efficient manner by planning, organizing and controlling all activities of the department(s). Implement, interpret and enforce work standards and procedures on the assigned shift that are in compliance with hospital policies, governmental regulations and various regulatory agency requirements. Serve as a role model for nursing staff by complying with established policies and procedures. Implement total quality management concepts into nursing service operations. Use the concepts of total quality management to evaluate the effectiveness of shift operations, make changes or recommendations for changes as indicated and assure that the appropriate staff and supplies are available to patients when needed. Determine the placement of patients according to nursing care needs and coordinate the transfer of patients or equipment in accordance with hospital policy. Coordinate the solution of interdepartmental problems with the appropriate management and administrative personnel. Provide direct patient care when higher levels of skill and judgement are required. Demonstrate the skills and knowledge necessary to provide care appropriate to the age of the patient served. Relieve the Director of Nursing as required. Function as house supervisor as required. May work off shifts, weekends and holidays, be on-call and work more than standard hours. Maintain up-to-date knowledge in the field so they may recommend new services, products and equipment. Continue professional development by attending education programs designed for nursing leaders. Interview, select, evaluate, discipline and terminate personnel or recommend such action as necessary. Assure that employees receive orientation and required in-service training and that they maintain required licensure or certification. Reassign nursing staff in accordance with the results of the patient classification system. Adhere to the infection control policies and procedures of the hospital. Serve on hospital and nursing committees as required. Perform other related duties as assigned Qualifications Education • Graduation from an approved school of nursing and current non-limited license in state. Experience • Minimum of three (3) years experience. • Demonstrated management and clinical skills. Licenses & Certifications • Current non-limited nursing license in state. Required Skills, Knowledge & Abilities • Demonstrated management skills. • Demonstrated clinical skills.

Medical Assistant

Appalachian Regional Healthcare Middlesboro, KY

Overview The Medical Assistant is responsible for efficient and courteous registration, transfer and discharge of patients within established policies and procedures; thoroughly compiles and types of medical information for patients' records and statistical reports and maintains current and accurate patient account receivables. The Medical Assistant is responsible for performing a wide variety of patient care activities and accommodative services for the comfort and well-being of patients in accordance with physicians' orders. Responsibilities Clinical Responsibilities • Performs basis patient care procedures as required. • Participates in conferences and serves on committees as requested. • Participates in patient and family education as necessary. • Prepares for and assists with diagnostic and therapeutic treatments. • Takes and records vital signs, height and weight. • Performs catheterizations and provides catheter care. • Administers oral and intra-muscular medications. • Cares for patient receiving oxygen therapy. • Applies sterile and non-sterile compresses and bandages. • Tests urine for sugar, acetone, and Ph. • Assists with physical examinations. • Applies ace bandages, hot and/or cold compresses. • Collects specimens, blood, urine, stool, and sputum. May do venipunctures and EKGs as needed. • Maintains cleanliness, safety and efficiency in the clinic. • Alert to and able to respond appropriately in an emergency situation. • Prepares used equipment for re-sterilization. • Knows legal requirements for reporting to police, health department, and other agencies and follows requirements. • Accompanies or transfers patients to other departments such as lab or x-ray. • Cleans and stocks examination rooms. • Manages time in order to expedite patient flow. • Assists with minor out-patient surgery. Patient Registration & Financial Responsibilities • Greets patients courteously, determines their needs, and offers assistance. • Registers patients by performing necessary procedures, such as preparation of records, reports, notices, service charge slips, and payor information. • Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusual cases to immediate supervisor. • May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or third-party payments. • Answers inquiries to patient accounts and advises patients on insurance benefits. • Receives all payments and deposits, issues receipts for all monies received and otherwise makes proper accounting for all funds received. • Posts charges daily to proper patient accounts. • Posts payments to accounts daily. • Determines billing method for third-party payors. • Contacts insurance carriers/agencies to obtain precertification of ancillary, admission and surgical procedures. Administrative Responsibilities • Operates various office equipment to include copiers, fax machines and other equipment as assigned. • Operates communication systems, placing and answering telephone calls, paging or contacting staff. • May make and maintain appointment schedules for clinic physicians. • May secure required signatures on reports and records relative to release of information, according to policies and procedures. • Contacts patients, physicians, or others for information necessary to properly complete insurance or other type billings. • Types memos, correspondence, etc., as needed. • Compiles periodic and statistical reports and other data as directed. Qualifications Education • High School Diploma Required • Graduate of Medical Assistant Training Program Preferred Experience • Up to 1 year • Three (3) to six (6) months on-the-job training as required to attain proficiency of assigned duties and responsibilities if not certified. Required Required Skills, Knowledge & Abilities • Obtain patient history and take vital signs to assist physician with examination and treatment. • Prepare and maintain examination and treatment area. • Perform selected tests that assist with diagnosis and treatment. • Screen and follow-up patient test results. • Prepare and administer medications as directed by physician and maintain medication records. Licenses & Certifications • Medical Assistant certification from an accredited program. Preferred.