CMA Outpatient Full-time
Better Health

Regional Medical Assistant Float - Bilingual (English/Spanish)

Better Health Mount Dora, FL
$18 - $25 / hour
Overview Our purpose is Better Health. Specializing in primary care for patients 65+ is our passion. What’s Your Why? Are you looking for a career opportunity that will help you grow personally and professionally? Do you have a passion for helping others achieve Better Health? Are you ready to join a growing team that shares your mission? Why Join Our Team: At VIPcare, we value you. We see you. Team Members at VIPcare are living their why and building their careers with a reliable team that shares their mission of providing 5-star service that always puts patient care and outcomes first. At VIPcare, it’s the little things we do each and every day that set us apart from other primary care practices. Our patients are family, and we want to keep our family healthy. Be part of a team that is transforming healthcare one patient at a time. We take great care of our team so they can take great care of our patients and achieve: Better Care. Better Outcomes. Better Health. Responsibilities Reports To: Office Manager Position Objective: The Regional Medical Assistant (MA) Float is responsible for providing both clinical and administrative support across multiple clinic locations to ensure the delivery of safe, high-quality, patient-centered care. Working under the direction of a Physician, Physician Assistant, or APRN, the Regional MA Float prepares patients for examinations, performs clinical procedures within the scope of practice, assists providers during patient visits, and supports front office operations. This is a safety-sensitive position that involves direct patient care, medication administration, and other clinical responsibilities requiring accuracy, professionalism, and attention to detail. The Regional MA Float plays an active role in supporting Medicare Advantage patients within a value-based care model that prioritizes preventive care. The Regional MA Float will travel within their region providing physician support services while ensuring a positive patient experience at every clinic location. Essential Responsibilities: Patient Care: Welcome patients and prepare them for provider examinations by obtaining and documenting patient history, chief complaint, current medications, allergies, medical history, surgical history, family history, social history, preventive care information, and other relevant clinical information in the electronic medical record (EMR). Measure, document, and report vital signs and other clinical observations. Prepare patients and examination rooms for provider visits. Assist providers during examinations, treatments, and in-office procedures. Explain provider instructions, treatment plans, medications, and follow-up care to patients as directed. Provide compassionate, professional service that promotes a positive patient experience. Clinical Procedures: Administer oral and injectable medications, immunizations, and treatments as directed by the provider and permitted by state regulations. Assist with wound care, dressing changes, bandaging, irrigation of eyes and ears, and other clinical procedures. Initiate and monitor IV infusions when appropriately trained and permitted by state regulations. Perform phlebotomy and prepare specimens for laboratory testing. Perform CLIA-waived laboratory testing in accordance with established procedures. Conduct in-office diagnostic testing, including but not limited to: Electrocardiograms (EKGs) Vision screenings Pulse oximetry Peak flow testing Oxygen administration as ordered Inhalation treatments Spirometry Perform PT/INR testing using approved equipment (CoaguChek/Coag-Sense) and glucose testing using a glucometer. Complete laboratory quality controls and maintain required testing logs. Clean, disinfect, and sterilize reusable instruments and properly dispose of contaminated materials in accordance with infection prevention standards. Clinical Documentation & Care Coordination: Accurately document patient encounters, treatments, diagnostic results, procedures, supplies utilized, and telephone encounters within the EMR. Complete outbound and inbound patient communications, including: Appointment reminders Medication reminders Transitional Care Management (TCM) — Medicare-supported outreach within 2 days of hospital or facility discharge to reduce readmissions and support safe care transitions Preventive care outreach Support Annual Wellness Visits (AWVs) by preparing Health Risk Assessments (HRAs), updating preventive care records, and ensuring completion of required documentation. Assist in patient outreach, scheduling of preventive screenings, and documentation of completed services. Care coordination activities Maintain patient medical records in accordance with organizational policies and HIPAA requirements. Administrative & Operational Support: Professionally manage front office responsibilities, including: Answering incoming telephone calls Greeting patients Scheduling appointments Patient registration and check-in/check-out Processing referrals Prescription refill coordination Routing clinical and administrative inquiries Monitor inventory levels of medical supplies, pharmaceuticals, and disposable clinical items, and assist with ordering as needed. Assist with maintaining office and clinical supply inventories. Support onboarding and training of new team members as assigned. Collaborate with providers, clinical staff, and front office personnel to ensure efficient clinic operations. Perform other duties as assigned. Regional Travel & Staff Development: Assist in onboarding and training new team members across assigned clinic locations. Travel within the assigned region to provide clinical support across multiple VIPcare clinic locations; regional travel is expected approximately 85% of the time. Adapt quickly to varying clinic workflows, team dynamics, and operational needs across locations while maintaining consistent patient care standards. Position Requirements/ Skills: High school diploma or equivalent required. Completion of an accredited Medical Assistant program preferred (CMA, RMA, NCMA, CCMA, or equivalent certification). 1+ year(s) of experience as a Medical Assistant in a physician practice, outpatient, or ambulatory care setting preferred. Current CPR/BLS certification required or obtained within organizational guidelines. IV Therapy certification preferred, where permitted by state regulations. Phlebotomy experience preferred. Knowledge of medical terminology, anatomy, physiology, and clinical office procedures. Working knowledge of common medications and disease processes affecting the patient population served. Knowledge of HIPAA, OSHA, infection prevention, and CLIA regulations. Knowledge of medical coding principles preferred. Experience using electronic medical records (EMRs). Proficiency with Google Workspace (Drive, Docs, Sheets, Slides). Excellent customer service and telephone etiquette. Strong organizational, prioritization, and time-management skills. Excellent verbal and written communication skills with the ability to effectively interact with patients, providers, health plans, and internal and external partners. Strong interpersonal skills with a collaborative, team-oriented approach. Critical thinking and sound problem-solving abilities. Ability to maintain confidentiality and appropriately handle sensitive information. Ability to work independently while effectively managing multiple priorities in a fast-paced clinical environment. Demonstrated commitment to delivering exceptional patient care and creating a positive patient experience. Appreciation for cultural diversity and sensitivity to the needs of Medicare and other patient populations served by VIPcare. Familiarity with Medicare Advantage plan structures, HEDIS quality measures, value-based care principles, and Annual Wellness Visit workflows preferred. Reliable personal transportation and willingness to travel within the assigned region approximately 85% of the time. Physical Requirements: Ability to perform a full range of physical activities required in a clinical environment, including assisting with patient positioning and transfers. Frequent standing, walking, bending, kneeling, reaching, pushing, pulling, and repetitive hand movements throughout the workday. Manual dexterity and fine motor skills sufficient to perform clinical procedures, administer medications, collect specimens, and operate medical equipment. Ability to lift, carry, push, or move medical equipment and supplies weighing up to 15 pounds and assist with heavier patient transfers when appropriate. Ability to sit or stand for extended periods based on operational needs. Visual acuity and hearing (with or without reasonable accommodation) sufficient to safely perform essential job functions. Ability to operate standard office equipment, computers, telephones, and clinical devices. Reliable transportation to consistently report to scheduled work locations and shifts. Must have reliable personal transportation to travel between assigned clinic locations within the region. Key Attributes/ Skills: Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles. An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments. Is able to work within the Better Health environment by facing tasks and challenges with energy and passion. Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals. COMPENSATION & BENEFITS Competitive hourly rate plus performance bonuses that reward the quality outcomes you help drive — because when our patients thrive, so should you. Schedule & Time Off Monday-Friday schedule — no weekends, no on-call 8 paid company holidays per year Paid Time Off (PTO) — accrued from day one Medical, Dental & Vision insurance Teladoc virtual care Financial Protection 401(k) through Fidelity Wellbeing & Support Better Health Wellness Program Employee Assistance Program (EAP) Parental leave Growth & Perks BHG University LinkedIn Learning Working Advantage **The compensation for the selected candidate will be based on a comprehensive evaluation of factors such as relevant experience, particularly in value-based care, skills, and qualifications as they align with the role's requirements. We are dedicated to providing a competitive salary that not only meets market standards but also reflects the unique value and expertise the candidate brings to the organization. Pay Range USD $18.00 - USD $25.00 /Hr. Organization VIPCARE
NP Outpatient Full-time
Mass General Brigham

NP or PA- MGBCI Solid Tumor - MGH Waltham

Mass General Brigham Waltham, MA
$126,838.40 - $173,867.20 / year
Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Ambulatory MGBCI Waltham - Solid tumor APP Outpatient only- Full time, 40 hours, 4-10-hr shifts- M-F only With an interdisciplinary team approach, the NP or PA will promote a collaborative relationship between all providers, professional nurses and administrative staff, to ensure continuity of patient care. Focus is primarily on the care of breast medical oncology patients in our ambulatory clinic at MGH Waltham though cross coverage across solid tumor malignanies may be anticipated. In addition to providing direct and indirect patient care, the medical oncology APP serves as a role model for professional advanced practice and participates in the professional development of the team through teaching, committee involvement or quality and safety initiatives. The medical oncology APP will provide thorough, compassionate, culturally sensitive clinical care and should demonstrate operational flexibility and strong leadership, problem-solving and communication skills in order to work effectively with other members of the team. The NP/PA is responsible for: • Performs and records the patient history and physical examination and discusses findings with the collaborating team. Obtaining and coordinating laboratory results, charting of clinical findings in the EMR, orders, nursing instructions, and other required elements. • Utilizes advanced practice knowledge to identify, prevent or solve complex and/or recurring breast oncology patient care problems. • Follows and manages patients (in collaboration with MD) enhancing continuity of care. • Performs (oversees/assures completion of) specialized procedures particular to the select medical oncology population mutually agreed upon with collaborating physician. • Collaborates with staff and physicians to facilitate a comprehensive plan of care and coordinate resources and write appropriate orders improving access to care, establishing goals for the delivery of care to patients, participating in clinical research, and managing communications between physicians, patients, family, and staff. • Appreciates complex medication interactions. • Ensuring appropriate diagnostic procedures occur in a timely matter through careful coordination with other services such as radiology, facilitating various clinic appointments, communicating with patients regarding test results, and providing coverage for the team. • Educating patients regarding a variety of medical oncology issues associated with local or systemic therapy. • Indications and interpretation of radiology, pathology, and laboratory results. • Understands the complex medical environments of cancer patients including, but not limited to, those with advanced malignancy or organ dysfunction. • Writes orders which are in accord with current guidelines including antineoplastics. • Maintains and practices in accord with practice guidelines per state and hospital regulations. Provides consultation to both nurses and physicians and serves as a resource to staff in area(s) of expertise. • Serves on appropriate intra- and inter-departmental committees Collaborates with staff and other health care professionals to meet staff and patient educational needs. • Participates in the development of formal and informal educational programs for nursing and support staff. Monitors patient outcomes in accordance with defined standards of patient care. • Identifies system-wide factors contributing to undesirable outcomes, such as complications and over utilization of services. Supports and conducts research efforts to advance knowledge and to promote research-based practice. • Evaluates own practice and program effectiveness. • Identifies pertinent patient care and health delivery problems for investigation. • Evaluates current research findings for clinical specialty and determines applicability to practice. • Assists nursing and medical colleagues in research efforts. • Encouraged to conduct research. Responsible for own professional growth and maintenance of required credentials. • Maintains the standards and educational requirements specific to the position and licensure. • Identifies own learning needs and goals. • Takes responsibilities for leadership and participation on committees and task forces within patient care services and the hospital. • Maintains and updates clinical knowledge and skills based on current health care practice/research. • Is willing to obtain procedural proficiency for medical oncology specific procedures. Training will be provided. 2+ years advanced practice and medical oncology experience is preferred. Prior oncology RN experience is preferred for NP applicants. Proficiency with Epic and EMRs preferred. EPIC In-basket management, telemedicine experience preferred. Familiarity with clinical trials preferred. -Demonstrated competence in specialized area. -Ability to effectively communicate clinical information, care plans, etc. to medical and lay audiences; able to educate patients and their families regarding routine and complex medical information. -Skilled in creating appropriate documentation and use of electronic medical records to consistently provide high quality and timely documentation including progress notes, sign-off notes, and discharge planning. -Strong organizational and time management skills. -Ability to work independently as well as a member of a team; can effectively influence and lead as necessary. -Effectively uses analytical skills and problem-solving techniques in both clinical and operational matters. The Nurse Practitioner (NP) is a licensed provider. The NP is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. Does this position require Patient Care? Yes Essential Functions -Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting -Performs complete histories and physical examinations -Orders, interprets, and evaluates appropriate laboratory and diagnostic tests -Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings -Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries -Performs bedside procedures as are appropriate to the patient population -Orders medications and writes prescriptions according to organizational and regulatory policies and procedures Qualifications Education -Master's Degree Nursing required or - Master's Degree Physician Assistant required Can this role accept experience in lieu of a degree? No Licenses and Credentials -Registered Nurse [RN - MA] - preferred -Nurse Practitioner [NP] / Advanced Practice Registered Nurse [APRN] [MA] - preferred or - Physician Assistant- Massachusetts preferred Experience Experience as a nurse practitioner 0-1 year preferred Knowledge, Skills and Abilities - Skilled in taking medical histories to assess medical condition and interpret findings. - Ability to maintain quality control standards. - Ability to react calmly and effectively in emergency situations. - Ability to interpret, adapt and apply guidelines and procedures. - Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public. Additional Job Details (if applicable) Remote Type Onsite Work Location 52 Second Avenue Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $126,838.40 - $173,867.20/Annual Grade 7 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 1200 The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
CMA Outpatient Full-time
Better Health

Regional Medical Assistant Float

Better Health Ocala, FL
$18 - $25 / hour
Overview Our purpose is Better Health. Specializing in primary care for patients 65+ is our passion. What’s Your Why? Are you looking for a career opportunity that will help you grow personally and professionally? Do you have a passion for helping others achieve Better Health? Are you ready to join a growing team that shares your mission? Why Join Our Team: At VIPcare, we value you. We see you. Team Members at VIPcare are living their why and building their careers with a reliable team that shares their mission of providing 5-star service that always puts patient care and outcomes first. At VIPcare, it’s the little things we do each and every day that set us apart from other primary care practices. Our patients are family, and we want to keep our family healthy. Be part of a team that is transforming healthcare one patient at a time. We take great care of our team so they can take great care of our patients and achieve: Better Care. Better Outcomes. Better Health. Responsibilities Reports To: Office Manager Position Objective: The Regional Medical Assistant (MA) Float is responsible for providing both clinical and administrative support across multiple clinic locations to ensure the delivery of safe, high-quality, patient-centered care. Working under the direction of a Physician, Physician Assistant, or APRN, the Regional MA Float prepares patients for examinations, performs clinical procedures within the scope of practice, assists providers during patient visits, and supports front office operations. This is a safety-sensitive position that involves direct patient care, medication administration, and other clinical responsibilities requiring accuracy, professionalism, and attention to detail. The Regional MA Float plays an active role in supporting Medicare Advantage patients within a value-based care model that prioritizes preventive care. The Regional MA Float will travel within their region providing physician support services while ensuring a positive patient experience at every clinic location. Essential Responsibilities: Patient Care: Welcome patients and prepare them for provider examinations by obtaining and documenting patient history, chief complaint, current medications, allergies, medical history, surgical history, family history, social history, preventive care information, and other relevant clinical information in the electronic medical record (EMR). Measure, document, and report vital signs and other clinical observations. Prepare patients and examination rooms for provider visits. Assist providers during examinations, treatments, and in-office procedures. Explain provider instructions, treatment plans, medications, and follow-up care to patients as directed. Provide compassionate, professional service that promotes a positive patient experience. Clinical Procedures: Administer oral and injectable medications, immunizations, and treatments as directed by the provider and permitted by state regulations. Assist with wound care, dressing changes, bandaging, irrigation of eyes and ears, and other clinical procedures. Initiate and monitor IV infusions when appropriately trained and permitted by state regulations. Perform phlebotomy and prepare specimens for laboratory testing. Perform CLIA-waived laboratory testing in accordance with established procedures. Conduct in-office diagnostic testing, including but not limited to: Electrocardiograms (EKGs) Vision screenings Pulse oximetry Peak flow testing Oxygen administration as ordered Inhalation treatments Spirometry Perform PT/INR testing using approved equipment (CoaguChek/Coag-Sense) and glucose testing using a glucometer. Complete laboratory quality controls and maintain required testing logs. Clean, disinfect, and sterilize reusable instruments and properly dispose of contaminated materials in accordance with infection prevention standards. Clinical Documentation & Care Coordination: Accurately document patient encounters, treatments, diagnostic results, procedures, supplies utilized, and telephone encounters within the EMR. Complete outbound and inbound patient communications, including: Appointment reminders Medication reminders Transitional Care Management (TCM) — Medicare-supported outreach within 2 days of hospital or facility discharge to reduce readmissions and support safe care transitions Preventive care outreach Support Annual Wellness Visits (AWVs) by preparing Health Risk Assessments (HRAs), updating preventive care records, and ensuring completion of required documentation. Assist in patient outreach, scheduling of preventive screenings, and documentation of completed services. Care coordination activities Maintain patient medical records in accordance with organizational policies and HIPAA requirements. Administrative & Operational Support: Professionally manage front office responsibilities, including: Answering incoming telephone calls Greeting patients Scheduling appointments Patient registration and check-in/check-out Processing referrals Prescription refill coordination Routing clinical and administrative inquiries Monitor inventory levels of medical supplies, pharmaceuticals, and disposable clinical items, and assist with ordering as needed. Assist with maintaining office and clinical supply inventories. Support onboarding and training of new team members as assigned. Collaborate with providers, clinical staff, and front office personnel to ensure efficient clinic operations. Perform other duties as assigned. Regional Travel & Staff Development: Assist in onboarding and training new team members across assigned clinic locations. Travel within the assigned region to provide clinical support across multiple VIPcare clinic locations; regional travel is expected approximately 85% of the time. Adapt quickly to varying clinic workflows, team dynamics, and operational needs across locations while maintaining consistent patient care standards. Position Requirements/ Skills: High school diploma or equivalent required. Completion of an accredited Medical Assistant program preferred (CMA, RMA, NCMA, CCMA, or equivalent certification). 1+ year(s) of experience as a Medical Assistant in a physician practice, outpatient, or ambulatory care setting preferred. Current CPR/BLS certification required or obtained within organizational guidelines. IV Therapy certification preferred, where permitted by state regulations. Phlebotomy experience preferred. Knowledge of medical terminology, anatomy, physiology, and clinical office procedures. Working knowledge of common medications and disease processes affecting the patient population served. Knowledge of HIPAA, OSHA, infection prevention, and CLIA regulations. Knowledge of medical coding principles preferred. Experience using electronic medical records (EMRs). Proficiency with Google Workspace (Drive, Docs, Sheets, Slides). Excellent customer service and telephone etiquette. Strong organizational, prioritization, and time-management skills. Excellent verbal and written communication skills with the ability to effectively interact with patients, providers, health plans, and internal and external partners. Strong interpersonal skills with a collaborative, team-oriented approach. Critical thinking and sound problem-solving abilities. Ability to maintain confidentiality and appropriately handle sensitive information. Ability to work independently while effectively managing multiple priorities in a fast-paced clinical environment. Demonstrated commitment to delivering exceptional patient care and creating a positive patient experience. Appreciation for cultural diversity and sensitivity to the needs of Medicare and other patient populations served by VIPcare. Familiarity with Medicare Advantage plan structures, HEDIS quality measures, value-based care principles, and Annual Wellness Visit workflows preferred. Reliable personal transportation and willingness to travel within the assigned region approximately 85% of the time. Physical Requirements: Ability to perform a full range of physical activities required in a clinical environment, including assisting with patient positioning and transfers. Frequent standing, walking, bending, kneeling, reaching, pushing, pulling, and repetitive hand movements throughout the workday. Manual dexterity and fine motor skills sufficient to perform clinical procedures, administer medications, collect specimens, and operate medical equipment. Ability to lift, carry, push, or move medical equipment and supplies weighing up to 15 pounds and assist with heavier patient transfers when appropriate. Ability to sit or stand for extended periods based on operational needs. Visual acuity and hearing (with or without reasonable accommodation) sufficient to safely perform essential job functions. Ability to operate standard office equipment, computers, telephones, and clinical devices. Reliable transportation to consistently report to scheduled work locations and shifts. Must have reliable personal transportation to travel between assigned clinic locations within the region. Key Attributes/ Skills: Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles. An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments. Is able to work within the Better Health environment by facing tasks and challenges with energy and passion. Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals. COMPENSATION & BENEFITS Competitive hourly rate plus performance bonuses that reward the quality outcomes you help drive — because when our patients thrive, so should you. Schedule & Time Off Monday-Friday schedule — no weekends, no on-call 8 paid company holidays per year Paid Time Off (PTO) — accrued from day one Medical, Dental & Vision insurance Teladoc virtual care Financial Protection 401(k) through Fidelity Wellbeing & Support Better Health Wellness Program Employee Assistance Program (EAP) Parental leave Growth & Perks BHG University LinkedIn Learning Working Advantage **The compensation for the selected candidate will be based on a comprehensive evaluation of factors such as relevant experience, particularly in value-based care, skills, and qualifications as they align with the role's requirements. We are dedicated to providing a competitive salary that not only meets market standards but also reflects the unique value and expertise the candidate brings to the organization. Pay Range USD $18.00 - USD $25.00 /Hr. Organization VIPCARE
CMA Outpatient Full-time
Better Health

Regional Medical Assistant Float

Better Health Sarasota, FL
$18 - $25 / hour
Overview Our purpose is Better Health. Specializing in primary care for patients 65+ is our passion. What’s Your Why? Are you looking for a career opportunity that will help you grow personally and professionally? Do you have a passion for helping others achieve Better Health? Are you ready to join a growing team that shares your mission? Why Join Our Team: At VIPcare, we value you. We see you. Team Members at VIPcare are living their why and building their careers with a reliable team that shares their mission of providing 5-star service that always puts patient care and outcomes first. At VIPcare, it’s the little things we do each and every day that set us apart from other primary care practices. Our patients are family, and we want to keep our family healthy. Be part of a team that is transforming healthcare one patient at a time. We take great care of our team so they can take great care of our patients and achieve: Better Care. Better Outcomes. Better Health. Responsibilities Reports To: Office Manager Position Objective: The Regional Medical Assistant (MA) Float is responsible for providing both clinical and administrative support across multiple clinic locations to ensure the delivery of safe, high-quality, patient-centered care. Working under the direction of a Physician, Physician Assistant, or APRN, the Regional MA Float prepares patients for examinations, performs clinical procedures within the scope of practice, assists providers during patient visits, and supports front office operations. This is a safety-sensitive position that involves direct patient care, medication administration, and other clinical responsibilities requiring accuracy, professionalism, and attention to detail. The Regional MA Float plays an active role in supporting Medicare Advantage patients within a value-based care model that prioritizes preventive care. The Regional MA Float will travel within their region providing physician support services while ensuring a positive patient experience at every clinic location. Essential Responsibilities: Patient Care: Welcome patients and prepare them for provider examinations by obtaining and documenting patient history, chief complaint, current medications, allergies, medical history, surgical history, family history, social history, preventive care information, and other relevant clinical information in the electronic medical record (EMR). Measure, document, and report vital signs and other clinical observations. Prepare patients and examination rooms for provider visits. Assist providers during examinations, treatments, and in-office procedures. Explain provider instructions, treatment plans, medications, and follow-up care to patients as directed. Provide compassionate, professional service that promotes a positive patient experience. Clinical Procedures: Administer oral and injectable medications, immunizations, and treatments as directed by the provider and permitted by state regulations. Assist with wound care, dressing changes, bandaging, irrigation of eyes and ears, and other clinical procedures. Initiate and monitor IV infusions when appropriately trained and permitted by state regulations. Perform phlebotomy and prepare specimens for laboratory testing. Perform CLIA-waived laboratory testing in accordance with established procedures. Conduct in-office diagnostic testing, including but not limited to: Electrocardiograms (EKGs) Vision screenings Pulse oximetry Peak flow testing Oxygen administration as ordered Inhalation treatments Spirometry Perform PT/INR testing using approved equipment (CoaguChek/Coag-Sense) and glucose testing using a glucometer. Complete laboratory quality controls and maintain required testing logs. Clean, disinfect, and sterilize reusable instruments and properly dispose of contaminated materials in accordance with infection prevention standards. Clinical Documentation & Care Coordination: Accurately document patient encounters, treatments, diagnostic results, procedures, supplies utilized, and telephone encounters within the EMR. Complete outbound and inbound patient communications, including: Appointment reminders Medication reminders Transitional Care Management (TCM) — Medicare-supported outreach within 2 days of hospital or facility discharge to reduce readmissions and support safe care transitions Preventive care outreach Support Annual Wellness Visits (AWVs) by preparing Health Risk Assessments (HRAs), updating preventive care records, and ensuring completion of required documentation. Assist in patient outreach, scheduling of preventive screenings, and documentation of completed services. Care coordination activities Maintain patient medical records in accordance with organizational policies and HIPAA requirements. Administrative & Operational Support: Professionally manage front office responsibilities, including: Answering incoming telephone calls Greeting patients Scheduling appointments Patient registration and check-in/check-out Processing referrals Prescription refill coordination Routing clinical and administrative inquiries Monitor inventory levels of medical supplies, pharmaceuticals, and disposable clinical items, and assist with ordering as needed. Assist with maintaining office and clinical supply inventories. Support onboarding and training of new team members as assigned. Collaborate with providers, clinical staff, and front office personnel to ensure efficient clinic operations. Perform other duties as assigned. Regional Travel & Staff Development: Assist in onboarding and training new team members across assigned clinic locations. Travel within the assigned region to provide clinical support across multiple VIPcare clinic locations; regional travel is expected approximately 85% of the time. Adapt quickly to varying clinic workflows, team dynamics, and operational needs across locations while maintaining consistent patient care standards. Position Requirements/ Skills: High school diploma or equivalent required. Completion of an accredited Medical Assistant program preferred (CMA, RMA, NCMA, CCMA, or equivalent certification). 1+ year(s) of experience as a Medical Assistant in a physician practice, outpatient, or ambulatory care setting preferred. Current CPR/BLS certification required or obtained within organizational guidelines. IV Therapy certification preferred, where permitted by state regulations. Phlebotomy experience preferred. Knowledge of medical terminology, anatomy, physiology, and clinical office procedures. Working knowledge of common medications and disease processes affecting the patient population served. Knowledge of HIPAA, OSHA, infection prevention, and CLIA regulations. Knowledge of medical coding principles preferred. Experience using electronic medical records (EMRs). Proficiency with Google Workspace (Drive, Docs, Sheets, Slides). Excellent customer service and telephone etiquette. Strong organizational, prioritization, and time-management skills. Excellent verbal and written communication skills with the ability to effectively interact with patients, providers, health plans, and internal and external partners. Strong interpersonal skills with a collaborative, team-oriented approach. Critical thinking and sound problem-solving abilities. Ability to maintain confidentiality and appropriately handle sensitive information. Ability to work independently while effectively managing multiple priorities in a fast-paced clinical environment. Demonstrated commitment to delivering exceptional patient care and creating a positive patient experience. Appreciation for cultural diversity and sensitivity to the needs of Medicare and other patient populations served by VIPcare. Familiarity with Medicare Advantage plan structures, HEDIS quality measures, value-based care principles, and Annual Wellness Visit workflows preferred. Reliable personal transportation and willingness to travel within the assigned region approximately 85% of the time. Physical Requirements: Ability to perform a full range of physical activities required in a clinical environment, including assisting with patient positioning and transfers. Frequent standing, walking, bending, kneeling, reaching, pushing, pulling, and repetitive hand movements throughout the workday. Manual dexterity and fine motor skills sufficient to perform clinical procedures, administer medications, collect specimens, and operate medical equipment. Ability to lift, carry, push, or move medical equipment and supplies weighing up to 15 pounds and assist with heavier patient transfers when appropriate. Ability to sit or stand for extended periods based on operational needs. Visual acuity and hearing (with or without reasonable accommodation) sufficient to safely perform essential job functions. Ability to operate standard office equipment, computers, telephones, and clinical devices. Reliable transportation to consistently report to scheduled work locations and shifts. Must have reliable personal transportation to travel between assigned clinic locations within the region. Key Attributes/ Skills: Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles. An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments. Is able to work within the Better Health environment by facing tasks and challenges with energy and passion. Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals. COMPENSATION & BENEFITS Competitive hourly rate plus performance bonuses that reward the quality outcomes you help drive — because when our patients thrive, so should you. Schedule & Time Off Monday-Friday schedule — no weekends, no on-call 8 paid company holidays per year Paid Time Off (PTO) — accrued from day one Medical, Dental & Vision insurance Teladoc virtual care Financial Protection 401(k) through Fidelity Wellbeing & Support Better Health Wellness Program Employee Assistance Program (EAP) Parental leave Growth & Perks BHG University LinkedIn Learning Working Advantage **The compensation for the selected candidate will be based on a comprehensive evaluation of factors such as relevant experience, particularly in value-based care, skills, and qualifications as they align with the role's requirements. We are dedicated to providing a competitive salary that not only meets market standards but also reflects the unique value and expertise the candidate brings to the organization. Pay Range USD $18.00 - USD $25.00 /Hr. Organization VIPCARE
CMA Outpatient Full-time
Better Health

Regional Medical Assistant Float

Better Health Mount Dora, FL
$18 - $25 / hour
Overview Our purpose is Better Health. Specializing in primary care for patients 65+ is our passion. What’s Your Why? Are you looking for a career opportunity that will help you grow personally and professionally? Do you have a passion for helping others achieve Better Health? Are you ready to join a growing team that shares your mission? Why Join Our Team: At VIPcare, we value you. We see you. Team Members at VIPcare are living their why and building their careers with a reliable team that shares their mission of providing 5-star service that always puts patient care and outcomes first. At VIPcare, it’s the little things we do each and every day that set us apart from other primary care practices. Our patients are family, and we want to keep our family healthy. Be part of a team that is transforming healthcare one patient at a time. We take great care of our team so they can take great care of our patients and achieve: Better Care. Better Outcomes. Better Health. Responsibilities Reports To: Office Manager Position Objective: The Regional Medical Assistant (MA) Float is responsible for providing both clinical and administrative support across multiple clinic locations to ensure the delivery of safe, high-quality, patient-centered care. Working under the direction of a Physician, Physician Assistant, or APRN, the Regional MA Float prepares patients for examinations, performs clinical procedures within the scope of practice, assists providers during patient visits, and supports front office operations. This is a safety-sensitive position that involves direct patient care, medication administration, and other clinical responsibilities requiring accuracy, professionalism, and attention to detail. The Regional MA Float plays an active role in supporting Medicare Advantage patients within a value-based care model that prioritizes preventive care. The Regional MA Float will travel within their region providing physician support services while ensuring a positive patient experience at every clinic location. Essential Responsibilities: Patient Care: Welcome patients and prepare them for provider examinations by obtaining and documenting patient history, chief complaint, current medications, allergies, medical history, surgical history, family history, social history, preventive care information, and other relevant clinical information in the electronic medical record (EMR). Measure, document, and report vital signs and other clinical observations. Prepare patients and examination rooms for provider visits. Assist providers during examinations, treatments, and in-office procedures. Explain provider instructions, treatment plans, medications, and follow-up care to patients as directed. Provide compassionate, professional service that promotes a positive patient experience. Clinical Procedures: Administer oral and injectable medications, immunizations, and treatments as directed by the provider and permitted by state regulations. Assist with wound care, dressing changes, bandaging, irrigation of eyes and ears, and other clinical procedures. Initiate and monitor IV infusions when appropriately trained and permitted by state regulations. Perform phlebotomy and prepare specimens for laboratory testing. Perform CLIA-waived laboratory testing in accordance with established procedures. Conduct in-office diagnostic testing, including but not limited to: Electrocardiograms (EKGs) Vision screenings Pulse oximetry Peak flow testing Oxygen administration as ordered Inhalation treatments Spirometry Perform PT/INR testing using approved equipment (CoaguChek/Coag-Sense) and glucose testing using a glucometer. Complete laboratory quality controls and maintain required testing logs. Clean, disinfect, and sterilize reusable instruments and properly dispose of contaminated materials in accordance with infection prevention standards. Clinical Documentation & Care Coordination: Accurately document patient encounters, treatments, diagnostic results, procedures, supplies utilized, and telephone encounters within the EMR. Complete outbound and inbound patient communications, including: Appointment reminders Medication reminders Transitional Care Management (TCM) — Medicare-supported outreach within 2 days of hospital or facility discharge to reduce readmissions and support safe care transitions Preventive care outreach Support Annual Wellness Visits (AWVs) by preparing Health Risk Assessments (HRAs), updating preventive care records, and ensuring completion of required documentation. Assist in patient outreach, scheduling of preventive screenings, and documentation of completed services. Care coordination activities Maintain patient medical records in accordance with organizational policies and HIPAA requirements. Administrative & Operational Support: Professionally manage front office responsibilities, including: Answering incoming telephone calls Greeting patients Scheduling appointments Patient registration and check-in/check-out Processing referrals Prescription refill coordination Routing clinical and administrative inquiries Monitor inventory levels of medical supplies, pharmaceuticals, and disposable clinical items, and assist with ordering as needed. Assist with maintaining office and clinical supply inventories. Support onboarding and training of new team members as assigned. Collaborate with providers, clinical staff, and front office personnel to ensure efficient clinic operations. Perform other duties as assigned. Regional Travel & Staff Development: Assist in onboarding and training new team members across assigned clinic locations. Travel within the assigned region to provide clinical support across multiple VIPcare clinic locations; regional travel is expected approximately 85% of the time. Adapt quickly to varying clinic workflows, team dynamics, and operational needs across locations while maintaining consistent patient care standards. Position Requirements/ Skills: High school diploma or equivalent required. Completion of an accredited Medical Assistant program preferred (CMA, RMA, NCMA, CCMA, or equivalent certification). 1+ year(s) of experience as a Medical Assistant in a physician practice, outpatient, or ambulatory care setting preferred. Current CPR/BLS certification required or obtained within organizational guidelines. IV Therapy certification preferred, where permitted by state regulations. Phlebotomy experience preferred. Knowledge of medical terminology, anatomy, physiology, and clinical office procedures. Working knowledge of common medications and disease processes affecting the patient population served. Knowledge of HIPAA, OSHA, infection prevention, and CLIA regulations. Knowledge of medical coding principles preferred. Experience using electronic medical records (EMRs). Proficiency with Google Workspace (Drive, Docs, Sheets, Slides). Excellent customer service and telephone etiquette. Strong organizational, prioritization, and time-management skills. Excellent verbal and written communication skills with the ability to effectively interact with patients, providers, health plans, and internal and external partners. Strong interpersonal skills with a collaborative, team-oriented approach. Critical thinking and sound problem-solving abilities. Ability to maintain confidentiality and appropriately handle sensitive information. Ability to work independently while effectively managing multiple priorities in a fast-paced clinical environment. Demonstrated commitment to delivering exceptional patient care and creating a positive patient experience. Appreciation for cultural diversity and sensitivity to the needs of Medicare and other patient populations served by VIPcare. Familiarity with Medicare Advantage plan structures, HEDIS quality measures, value-based care principles, and Annual Wellness Visit workflows preferred. Reliable personal transportation and willingness to travel within the assigned region approximately 85% of the time. Physical Requirements: Ability to perform a full range of physical activities required in a clinical environment, including assisting with patient positioning and transfers. Frequent standing, walking, bending, kneeling, reaching, pushing, pulling, and repetitive hand movements throughout the workday. Manual dexterity and fine motor skills sufficient to perform clinical procedures, administer medications, collect specimens, and operate medical equipment. Ability to lift, carry, push, or move medical equipment and supplies weighing up to 15 pounds and assist with heavier patient transfers when appropriate. Ability to sit or stand for extended periods based on operational needs. Visual acuity and hearing (with or without reasonable accommodation) sufficient to safely perform essential job functions. Ability to operate standard office equipment, computers, telephones, and clinical devices. Reliable transportation to consistently report to scheduled work locations and shifts. Must have reliable personal transportation to travel between assigned clinic locations within the region. Key Attributes/ Skills: Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles. An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments. Is able to work within the Better Health environment by facing tasks and challenges with energy and passion. Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals. COMPENSATION & BENEFITS Competitive hourly rate plus performance bonuses that reward the quality outcomes you help drive — because when our patients thrive, so should you. Schedule & Time Off Monday-Friday schedule — no weekends, no on-call 8 paid company holidays per year Paid Time Off (PTO) — accrued from day one Medical, Dental & Vision insurance Teladoc virtual care Financial Protection 401(k) through Fidelity Wellbeing & Support Better Health Wellness Program Employee Assistance Program (EAP) Parental leave Growth & Perks BHG University LinkedIn Learning Working Advantage **The compensation for the selected candidate will be based on a comprehensive evaluation of factors such as relevant experience, particularly in value-based care, skills, and qualifications as they align with the role's requirements. We are dedicated to providing a competitive salary that not only meets market standards but also reflects the unique value and expertise the candidate brings to the organization. Pay Range USD $18.00 - USD $25.00 /Hr. Organization VIPCARE
NP Full-time
Vanderbilt University Medical Center

Nurse Practitioner/Physician Assistant - General Cardiology - Clarksville (Inpatient)

Vanderbilt University Medical Center Nashville, TN
Discover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: VHVI Advanced Practice Job Summary: The Advanced Practice Provider (APP) plays a vital role in delivering specialized care and managing the health needs of patients in either inpatient, ambulatory, or a combination of both settings. With advanced training and expertise, the APP focuses on subspecialized care, including chronic illness and disease management, ensuring continuity of care throughout the patient’s healthcare journey, which may span multiple years. This role involves specialization in a specific organ system, where the APP provides expert consultation within their area of expertise as appropriate. The APP is integral to supporting patients across the continuum of care in both inpatient and outpatient specialty settings, collaborating with multidisciplinary teams to achieve optimal patient outcomes. . Inpatient Position Location: Vanderbilt Clarksville Hospital - Clarksville, TN Position Hours: Days 4 10 Hour Shifts Per Week No Weekends, No Holidays Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) / Acute Care Nurse Practitioner (ACNP) or Physician Assistant (PA) Required KEY RESPONSIBILITIES Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care. In collaboration, provides healthcare services for primary, acute and complex care of patients and manages patients’ overall care, identifying expected outcomes for diagnoses. Orders, performs, interprets and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. Forms differential diagnoses and treats acute and chronic conditions. Prescribes therapeutic interventions for both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes. Utilizes evidence-based, approved practice protocols in planning and implementing care. Initiates appropriate referrals and consultations Provides specialty specific consultation services upon request and within a specialty scope of practice. Facilitates the patient’s transition between and within health care settings. The responsibilities listed are a general overview of the position and additional duties may be assigned. TECHNICAL CAPABILITIES Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice. Patient and Family Centered Care (Advanced): Demonstrates care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life. Within scope of licensure and certification, manages previously diagnosed and undiagnosed patients. Uses health assessment skills to differentiate between normal, variations of normal, and abnormal findings. Employes screening and diagnostic strategies in the development of diagnoses. Prescribes medications within scope of practice. Manages health/illness status of patients and families over time and across the continuum. Provides patient/centered care recognizing the patient or designee as a full partner in decision making. Creates a climate of patient/centered care to include confidentiality privacy, comfort emotional support, mutual trust, and respect. Incorporates cultural and spiritual preferences, values and beliefs into health care. Preserves the patient’s control over decision making by negotiating a mutually acceptable plan of care. Integrates ethical principles into decision making. Uses electronic health record to capture data on variables for the evaluation and management of patient care. Clearly documents findings, assessment and plan of care. Clinical Knowledge and Practice (Advanced): Demonstrates established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others. Demonstrates knowledge of population focus but also other sciences that support his/her field of practice. Demonstrates knowledge of common and important health issues affecting society and other societies around the globe. Demonstrates commitment in maintaining current evidence-based knowledge through continuous learning. Educates patients, families, students and other members of the healthcare team in clinical topics and application of clinical knowledge. Practice-Based Scholarly Inquiry and Integration (Advanced): Demonstrates the use of scientific evidence and methods to investigate, evaluate and improve patient care practices. Anticipates variations in practice and is proactive in implementing interventions to improve quality. Uses best available evidence to continuously improve quality of clinical practice. Generates knowledge from clinical practice to improve practice and patient outcomes. Reviews data and evidence to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science. Interpersonal and Communication Skills (Advanced): Demonstrates interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams. Communicates practice knowledge effectively both orally and in writing. Professionalism (Advanced): Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice. Our Nursing Philosophy: We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being. As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered: Affordable High Quality Health Plan Options Dental and /or vision plan 403 (b) retirement plan Paid Time off (flex PTO) Tuition Reimbursement and adoption assistance (maximums applied) Short-Long term disability Subsidized backup childcare And many more... Ask us about our current inpatient nursing supplemental Pay Program! Achieve the Remarkable: Learn more about VUMC Nursing here . Core Accountabilities: Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members. Core Capabilities : Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: LIC-Licensed Nurse Practitioner - Tennessee, LIC-Physician's Assistant Certified - Tennessee, LIC-Registered Nurse - Tennessee Work Experience: Relevant Work Experience Experience Level: Less than 1 year Education: Master's This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
NP Outpatient Full-time
Vanderbilt University Medical Center

Nurse Practitioner/Physician Assistant - General Cardiology - Columbia

Vanderbilt University Medical Center Nashville, TN
Discover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: VHVI Advanced Practice Job Summary: The Advanced Practice Provider (APP) plays a vital role in delivering specialized care and managing the health needs of patients in either inpatient, ambulatory, or a combination of both settings. With advanced training and expertise, the APP focuses on subspecialized care, including chronic illness and disease management, ensuring continuity of care throughout the patient’s healthcare journey, which may span multiple years. This role involves specialization in a specific organ system, where the APP provides expert consultation within their area of expertise as appropriate. The APP is integral to supporting patients across the continuum of care in both inpatient and outpatient specialty settings, collaborating with multidisciplinary teams to achieve optimal patient outcomes. . Outpatient Position Location: Columbia, TN Position Hours: Monday through Friday Days Adult-Gerontology Acute Care Nurse Practitioner (AGACNP)/Acute Care Nurse Practitioner (ACNP), Family Nurse Practitioner (FNP) or Physician Assistant (PA) KEY RESPONSIBILITIES Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care. In collaboration, provides healthcare services for primary, acute and complex care of patients and manages patients’ overall care, identifying expected outcomes for diagnoses. Orders, performs, interprets and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. Forms differential diagnoses and treats acute and chronic conditions. Prescribes therapeutic interventions for both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes. Utilizes evidence-based, approved practice protocols in planning and implementing care. Initiates appropriate referrals and consultations Provides specialty specific consultation services upon request and within a specialty scope of practice. Facilitates the patient’s transition between and within health care settings. The responsibilities listed are a general overview of the position and additional duties may be assigned. TECHNICAL CAPABILITIES Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice. Patient and Family Centered Care (Advanced): Demonstrates care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life. Within scope of licensure and certification, manages previously diagnosed and undiagnosed patients. Uses health assessment skills to differentiate between normal, variations of normal, and abnormal findings. Employes screening and diagnostic strategies in the development of diagnoses. Prescribes medications within scope of practice. Manages health/illness status of patients and families over time and across the continuum. Provides patient/centered care recognizing the patient or designee as a full partner in decision making. Creates a climate of patient/centered care to include confidentiality privacy, comfort emotional support, mutual trust, and respect. Incorporates cultural and spiritual preferences, values and beliefs into health care. Preserves the patient’s control over decision making by negotiating a mutually acceptable plan of care. Integrates ethical principles into decision making. Uses electronic health record to capture data on variables for the evaluation and management of patient care. Clearly documents findings, assessment and plan of care. Clinical Knowledge and Practice (Advanced): Demonstrates established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others. Demonstrates knowledge of population focus but also other sciences that support his/her field of practice. Demonstrates knowledge of common and important health issues affecting society and other societies around the globe. Demonstrates commitment in maintaining current evidence-based knowledge through continuous learning. Educates patients, families, students and other members of the healthcare team in clinical topics and application of clinical knowledge. Practice-Based Scholarly Inquiry and Integration (Advanced): Demonstrates the use of scientific evidence and methods to investigate, evaluate and improve patient care practices. Anticipates variations in practice and is proactive in implementing interventions to improve quality. Uses best available evidence to continuously improve quality of clinical practice. Generates knowledge from clinical practice to improve practice and patient outcomes. Reviews data and evidence to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science. Interpersonal and Communication Skills (Advanced): Demonstrates interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams. Communicates practice knowledge effectively both orally and in writing. Professionalism (Advanced): Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice. Our Nursing Philosophy: We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being. As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered: Affordable High Quality Health Plan Options Dental and /or vision plan 403 (b) retirement plan Paid Time off (flex PTO) Tuition Reimbursement and adoption assistance (maximums applied) Short-Long term disability Subsidized backup childcare And many more... Ask us about our current inpatient nursing supplemental Pay Program! Achieve the Remarkable: Learn more about VUMC Nursing here . Core Accountabilities: Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members. Core Capabilities : Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: LIC-Licensed Nurse Practitioner - Tennessee, LIC-Physician's Assistant Certified - Tennessee, LIC-Registered Nurse - Tennessee Work Experience: Relevant Work Experience Experience Level: Less than 1 year Education: Master's This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
RN Director of Nursing Full-time
Skilled Nursing Health and Rehabilitation

Director of Nursing RN

Skilled Nursing Health and Rehabilitation Hot Springs, AR
Purpose of Your Job Position The primary purpose of your job position is to plan, organize, develop, and direct the overall operation of our Nursing Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be required by the Administrator and Medical Director, to ensure that the highest degree of quality care is maintained at all times. Delegation of Authority As Director of Nursing Services you are delegated the administrative authority, responsibility, and ac- countability necessary for carrying out your assigned duties. In the absence of the Medical Director, you are charged with carrying out the patient-care policies established by this facility. Job Functions 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 es- sential function of the position. Duties and Responsibilities Administrative Functions • Plan, develop, organize, implement, evaluate, and direct the nursing services department as well as its programs and activities. • Maintain written policies and procedures that govern the day-to-day functions of the nursing service department and ensure that personnel comply with such policies and procedures. • Make written and oral reports/recommendations to the Administrator as necessary/required, concern- ing the operation of the nursing service department. • Assist in developing methods for coordinating nursing services with other patient services to ensure the continuity of the patients’ total regimen of care. • Ensure that all nursing service personnel are in compliance with their respective job descriptions. • Participate in the 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. • Periodically review the patient’s written discharge plan. Participate in the planning of the patient’s writ- ten discharge plan as required. • Meet with the nursing staff, as well as support personnel, in planning the department’s services, pro- grams, and activities. • Interpret the department’s policies and procedures to personnel, patients, visitors, and government agencies as required. • Perform administrative duties such as admitting, discharging, and transferring patients, completing medical forms, reports, evaluations, studies, charting, including I & A forms, etc., as necessary. Committee Functions • Serve on various committees and attend meetings of the facility (i.e., Infection Control, Policy Advi- sory, Pharmaceutical, Quality Assessment, etc.) as required. • Prepare 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 Administrator. Personnel Functions • Determine the staffing needs, and ensure that a sufficient number of licensed practical nurses and certi- fied nursing assistants are available for all shifts to ensure that quality care is maintained. • Develop work assignments, and scheduling for the nursing department. • 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. • 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 Administrator as required or as may be necessary. • Develop and maintain a good working rapport with inter-department personnel, as well as other depart- ments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the patients. • 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 staff on a regularly scheduled basis to assist in identifying and correcting problem areas and/or to assist in the improvement of services. • Ensure that departmental disciplinary action is administered fairly. • 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. • Interview prospective employees, hire new employees, maintain and carry out disciplinary programs, monitor attendance and job performance, carry out suspensions, and execute employment terminations for nursing department personnel. Nursing Care Functions • Participate in the interviewing and selection of new patients, including PASARR screenings, providing the Administrator with a Nursing Assessment of the patient, and the department’s ability to meet his needs. • Greet newly admitted patients upon admission. Escort them to their rooms as necessary. • Make rounds a minimum of twice daily. • Ensure that attending physicians record and sign progress notes, physicians’ orders, etc., on a timely basis and in accordance with current regulations. • Consult with the patient, his/her family, and the patient’s physician in planning the patient’s care, treat- ment, rehabilitation, etc., as necessary. • Review nurses’ notes to ensure that they are informative and descriptive of the nursing care being pro- vided, that they reflect the patient’s response to the care, and that such care is provided in accordance with the patient’s wishes. • Provide direct nursing care as necessary. • Authorize the use of restraints when ordered by a physician as necessary and in accordance with our facilities policies and procedures. • Ensure that patients who are unable to call for help are checked frequently. • Meet with patients, and/or family members, as necessary. Staff Development Functions • Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on “how to do the job,” ensure a well-educated nursing service department, and meet OSHA guidelines for required annual in-services. • Conduct General and Nursing Departmental orientations for all new employees. • 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 Functions • 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, and 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.) and pa- tient care rooms, treatment areas, etc., are maintained in a clean and sanitary manner. • Ensure that nursing service personnel follow established hand-sanitizing procedures. • Ensure that nursing service personnel participate in and conduct all fire safety and disaster prepared- ness drills in a safe and professional manner. • Participate in the implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the patients 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 haz- ardous conditions or equipment. • Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions • Recommend to the Administrator 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 patient, and that supplies are used efficiently to avoid waste. • Ensure that only trained and authorized personnel operate the nursing service department’s equip- ment, and that they do so in a safe manner. • Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service depart- ment. Care Plan and Assessment Functions • Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each patient that identifies the problems/needs of the patient, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care as necessary. • Encourage the patient to participate in the development and review of his/her care plan. • Review patient care plans for appropriate patient goals, problems, approaches, and revisions based on nursing needs. • Ensure that all personnel involved in providing care to the patient are aware of the patient’s care plan. • Ensure that nursing personnel refer to the patient’s care plan prior to administering daily care to the patient. • Review nurses’ notes to determine if the care plan is being followed. • Assist the Patient Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. • Review patient’s medical and nursing treatments to ensure that they are provided in accordance with the patient’s care plan and wishes. Budget and Planning Functions • Adhere to departmental budget as given. • Suggest budget/planning changes to Administrator for the department. Patient Rights Functions • Maintain the confidentiality of all patient care information. • Monitor nursing care to ensure that all patients are treated fairly, and with kindness, dignity, and re- spect. • Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the patient’s room. • Ensure that all nursing service personnel are knowledgeable of the patients’ responsibilities and rights including the right to refuse treatment, and adhere to all facility patient rights and privacy policies and procedures . • Review complaints and grievances made by the patient and make a written/oral report to the Director indicating what action(s) were taken to resolve the complaint or grievance. Follow facility’s established procedures. • Report and investigate all allegations of patient abuse and/or misappropriation • of patient property. • Ensure that nursing staff personnel honor the patient’s refusal of treatment request, and that such re- quests are in accordance with the facility’s policies governing advance directives. Working Conditions • Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses’ sta- tions, patient rooms, etc.). • Moves intermittently during working hours. • Is subject to frequent interruptions from patients, personnel, visitors, government agencies/ personnel, etc., under all conditions and circumstances. • Is subject to hostile and emotionally upset patients, family members, personnel, and visitors. • Communicates with the medical staff, nursing personnel, and other department supervisors. • Works beyond normal working hours and on weekends and holidays when necessary, and 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 work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. • Is subject to exposure to hazardous chemicals, infectious waste, diseases, conditions, etc., including TB, Covid variants, AIDS and Hepatitis B viruses. • Maintains a liaison with the patients, their families, support departments, etc., to adequately plan for the patients’ needs. Education • A four-year Nursing Degree from an accredited college or university is preferred. Experience • Must have experience as a supervisor in a hospital, long-term care facility, or other related health care facility. • Must have training in rehabilitative and restorative nursing practices. Specific Requirements • Must possess a current, unencumbered, active license to practice as an RN in Arkansas. • Must work full-time hours of 40-hours per week minimum as required by state and federal regulation. • Must be able to read, write, speak, and understand the English language. • Must possess the ability to make independent decisions when circumstances warrant such action. • Must possess the ability to deal patiently, tactfully, with a cheerful disposition and enthusiasm with personnel, patients, family members, visitors, government agencies/personnel, and the general pub- lic based on whatever maturity level at which they are currently functioning. • Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care. • Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. • Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. • Must be able to relate information concerning a patient’s condition. • Must not pose a direct threat to the health or safety of other individuals in the workplace. • Must be willing to follow all company, state and regulatory policies related to Infection Control and Vaccination requirements. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices) • 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 due to relating to and working with the ill, disabled, elderly, emotionally upset, and, at times, hostile people. • 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 patients, personnel, and support agencies. • Must meet the general health requirements set forth by the policies of this facility. • Must be able to push, pull, move, and/or lift a reasonable minimum of pounds to a reasonable height and be able to push, pull, move, and/or carry such weight a reasonable distance. • May be necessary to assist in the evacuation of patients during emergency situations.
RN ER Full-time
Banner Health

Registered Nurse RN Emergency Dept

Banner Health San Tan Valley, AZ
Primary City/State: Queen Creek, Arizona Department Name: Emergency Ctr-Hosp Work Shift: Night Job Category: Nursing 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. Banner Ironwood Medical Center resides in the heart of San Tan Valley serving Queen Creek, Florence, San Tan Valley, and other neighboring communities. Since opening in 2010, Banner Ironwood Medical Center has provided an excellent patient experience, with all the amenities of a hotel and the highest quality of health care available. Our thirty-four bed Emergency Department serves both adult and pediatric patients with ACEP board certified physicians capable of managing complex and simple health care emergencies. Patients can count on collaboration and innovation in processes with the use of technologies foundational to Banner’s ability to provide industry leading care. We hold the State of Arizona designation as a Level IV Trauma Center and the Arizona Chapter American Academy Pediatrics designation as Pediatric Prepared. We have a new twelve bed Pediatric Inpatient Unit and Adult Critical Care Unit offering a healing environment designed to enhance outcomes, healing, and patient safety. As a Registered Nurse in our Emergency Department , you are a vital member of the multi-professional care team, we strive to advance the art and science of patient care, quality, and safety. If you are looking to work with all patients and a wide range of patient acuity levels, this is the position for you. Schedule: Full-time Nights; 7:00pm-7:30am; weekend and holiday rotation required. You will also have the opportunity utilize our self-scheduling tool for shift and weekend coverage. Enjoy an 18%-night shift differential and a flat rate $3/hour weekend shift differential. 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. If you are a New Graduate Nurse with less than 12 months of experience, please visit the main job search page and under the Job Type filter, select New Nurse Experience. Banner Ironwood Medical Center is committed to meeting the ever-changing needs of the southeast communities of metropolitan Phoenix. Our first patient tower has 47 beds, including eight LDR rooms and can accommodate up to 89 beds when fully equipped. We also feature a full service emergency department, four surgical suites and medical imaging services. With our 80-acre campus, more than 500 beds and supporting health services could be built on our site. This means an exceptional opportunity for you to establish a career where the potential for growth is limitless. 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
CRNA Full-time
Mass General Brigham

Nurse Anesthetist (CRNA) 36 hrs- Faulkner

Mass General Brigham Boston, MA
Site: Brigham and Women's Physicians Organization, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Schedule: 36 Hours. No Calls or weekends. Starting Compensation $242,985. We're offering a generous sign-on bonus of $40,000 to welcome you to our team. Recognizing and valuing exceptional talent, we're eager to discuss the exciting details of this bonus during our interview process. Job Summary The CRNA is responsible for the pre-operative, intra-operative, and immediate post-operative care of the patient requiring anesthesia for surgical, medical, therapeutic or diagnostic procedures. This care includes, but is not limited to, pre-operative assessments, anesthetic care plans, assembly and care of specialized equipment; application, insertion and interpretation of data from anesthetic monitors; airway management; delivery of general, regional anesthesia, and monitored anesthetic care; induction, maintenance, and emergence of the patient; care of the patient in the immediate post-operative setting; and post-operative assessments in collaboration with a physician member of the Department of Anesthesiology. These services are rendered in our 16 main operating rooms. Clinical Responsibilities: The following list of anesthesia and related services should be utilized to delineate the clinical responsibilities of the individual who can demonstrate new or continued competency. More clinical responsibilities may be added as additional education and experience is obtained by the individual practitioner. • Pre-anesthesia assessment • Requesting laboratory/diagnostic studies • Pre-anesthetic medication • General anesthesia and adjuvant drugs • Regional anesthesia monitoring • Sedation techniques • Cardiopulmonary resuscitation management • Invasive and noninvasive placement and monitoring • Airway management techniques • Mechanical ventilation/oxygen therapy • Fluid, electrolyte, acid-base management • Blood, blood products, plasma expanders • Peripheral intravenous/arterial catheter placement • Acute and chronic pain therapy • Select, administer, and reconcile medications in accordance with Federal, State and hospital policies. • Post anesthesia care/discharge • Seeks physician direction based on patient condition • Must adhere to I.C.A.R.E Standards Working Conditions: Anesthesia care is given in the main operating rooms of the Brigham and Women’s Faulkner Hospital, or its affiliating institutions, as well as several designated “Out of OR” locations, which are, for example, Radiology, Cardiac Cath Lab, CT, MRI, MRT, Endoscopy, Angiography, among others. These locations are often geographically far from the main ORs. In these environments, work proceeds in an atmosphere that includes many forms of electrical, mechanical, gas driven, and radiation and laser emitting equipment. The environment can be warm, cold, dimly lit and crowded as well as spacious and well lit. Qualifications Education Master's Degree Nurse Anesthesia Practitioner required Licenses and Credentials Certified Registered Nurse Anesthetist [CRNA (NBCRNA)] - National Board of Certification and Recertification of Nurse Anesthetists (NBCRNA) required Mass Registered Nurse preferred Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certification required. Experience Experience as a CRNA or New Graduate 0-1 year preferred Knowledge, Skills and Abilities - Knowledge of anatomy, physiology, pathophysiology, biochemistry, chemistry, physics and pharmacology as related to anesthesia. - Foreign language skills for patient population is desired. - Demonstrates clinical competence within the scope of clinical practice standards set by the department. - Must be comfortable in a fast-paced, dynamic, team-based care setting, with the ability to work independently as well as in a care team to deliver high quality care. - Effective interpersonal skills to work with surgeons and staff in a variety of cases and environments. Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public. - Ability to keep up with up to date best practices in the field of anesthesia. - Skilled in taking medical histories to assess medical condition and interpret findings. - Ability to maintain quality control standards. - Ability to react calmly and effectively in emergency situations. - Ability to interpret, adapt and apply guidelines and procedures. Additional Job Details (if applicable) Brigham and Women's Faulkner Hospital is a 249- bed non-profit, community teaching hospital located in Jamaica Plain directly across the street from the Arnold Arboretum. Founded in 1900, Brigham and Women's Faulkner Hospital offers comprehensive care in a wide variety of specialties. Brigham and Women’s Faulkner Hospital is a designated Magnet hospital by the American Nurses Credentialing Center, a recognition that fewer than nine percent of all US hospitals receive. At Brigham and Women’s Faulkner Hospital, we believe that everyone should have the chance to live a healthy life. From creating breakthroughs that have paved the way for treatments around the globe to training the next generation of providers, our patients, and those we may never meet, are at the center of everything we do. If you’re looking for more than a career, join Brigham and Women’s Faulkner Hospital. Our patients call it better care. Our employees call it home. Remote Type Onsite Work Location 1153 Centre Street Scheduled Weekly Hours 36 Employee Type Regular Work Shift Day (United States of America) Pay Range $219,294.40 - $259,656.80/Annual Grade 8CRNA At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Brigham and Women's Physicians Organization, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
RN Pediatric ICU Full-time
Children’s Hospital of Philadelphia

Cardiac Intensive Care Registered Nurse

Children’s Hospital of Philadelphia Philadelphia, PA
$48.30 - $58.15 / hour
SHIFT: Rotating (United States of America) Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career. CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview The Cardiac Intensive Care Unit (CICU) is a unit that cares for patients with congenital and acquired heart conditions, that largely require surgical and/or medical intervention, some within just hours of being born. The CICU at CHOP is one of the largest in the world and is comprised of a team of highly trained medical providers, nurses, and respiratory therapists dedicated to the healing and well-being of this specialized patient population. State of the art medical technology, such as Ventricular Assist Devices (VADs), ECMO, dialysis, as well as open heart transplants are all readily seen on the CICU. This education rich, and collaborative environment leads with evidence-based practice and innovation to promote the best patient outcomes possible. This requisition will fill multiple positions. The Clinical Nurse practices at the level of an advanced beginner to expert practitioner of professional nursing in accordance with, and guided by the CHOP Nursing Professional Practice Model. The nurse at this level demonstrates competence in caring for patients and families and progresses to caring for those with the most complex problems/highest acuity in the designated clinical area. Provides age/developmentally appropriate care. Care is delivered through RN leadership for patient care within the framework of family-centered care. The Clinical Nurse adheres to the organizational and nursing department mission, vision, and values. Clinical Nurses practice in accordance with the ANA Code of Ethics; the ANA Standards of Clinical Nursing Practice; practice standards of applicable specialty nursing organizations; and CHOP developed standards of nursing practice. The professional nurse practices within the defined scope of practice designated by the Nurse Practice Acts of Pennsylvania and/or New Jersey, depending on the assigned work site. What you will do Clinical Practice Follows the nursing process to deliver safe, compassionate, and culturally effective care. Gathers and recognizes/synthesizes assessment data to determine the patient/family plan of care, pertinent data to be shared with care team, and tasks to be delegated. Recognizes and/or seeks resources to recognize clinical changes that are indicative of patient deterioration; utilizes the CAT team when appropriate. Collaborates with the patient, family and multidisciplinary team to coordinate all facets of patient care. Develops, implements and/or revises the patient’s plan of care on admission and during the course of the hospitalization. Plans of care are outcomes focused and include goals as well as required interventions. Plans are developed in partnership with the patient, family, and the interdisciplinary care team. Care is coordinated across the continuum – understands and utilizes case management resources. Consistently follows evidence based practice bundles and nursing standards/procedures to provide nursing care that eliminates preventable events of patient harm and promotes excellent patient outcomes. Recognizes and addresses situations which present ethical dilemmas and/or moral distress. Takes steps to actively address the situation. Seeks resources as needed to resolve the situation. Demonstrates competence in teaching patients/families and progresses to an expert educator of patients/families. Evaluates and documents the care provided on each assigned shift. Accountable for the rapid adoption and implementation of clinical practice changes into own practice. Communication Documents the evaluation of nursing interventions and outcomes of nursing care utilizing hospital standards, policies and procedures. Consistently follows safe hand-off practices as defined in patient care standards and procedures. Utilizes and exemplifies safety behaviors for error prevention. Identifies potential safety concerns and communicates with unit leadership as appropriate. Enters safety nets when applicable, including good catch/near miss situations. Effective verbal and nonverbal communication techniques and good listening skills are used to empathically communicate with patients/ families, and colleagues. Encourages patient/family self-advocacy. Collaboration Demonstrates effective teamwork as a member of the interdisciplinary care team, fostering and exemplifying a culture of respect. Recognizes/addresses situations where disrespectful collaboration may impact patient care and/or create non-collaborative relationships. Seeks resources as needed to resolve situations involving incivility and/or disrespect. Actively participates in interdisciplinary patient care rounds and/or meetings and makes recommendations to the plan of care that reflect nursing goals, interventions, and expected outcomes. Revises the plan of care according to the patient care decisions made on rounds. Incorporates evidence based practice into direct clinical care in collaboration with other members of the multidisciplinary team. Develops and implements effective partnerships with members of the ancillary staff; delegates tasks effectively to assure comprehensive nursing care is provided. Develops and sustains professional, well- boundary, therapeutic relationships with patients and families in which all actions are in the best interest of the patient and family and there is no personal gain at the patient/families expense. Professional Development Models appearance and behaviors that promote a positive image of professional nursing. Expands clinical judgment and critical thinking skills with increased experience o Demonstrates mastery of the principles of Family Centered Care, including dignity and respect, information sharing, participation, and collaboration. Demonstrates understanding of optimal patient/family experiences and incorporates into care delivery. Has a working knowledge of patient/family experience results (NRC Picker) at the unit and organizational level. Participates and/or leads in initiatives to improve satisfaction scores. Practices within a shared decision making environment. Familiar with and participates in Shared Governance council activities at the unit and/or department level. Progresses to leading council activities at the unit and/or department levels. Familiar with Magnet designation and the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Participates in ongoing designation activities such as serving as a unit based Magnet champion. Demonstrates fiscal stewardship: o Manages own time to accomplish direct/indirect care in a cost-effective manner o Conserves unit and organizational resources; assures supplies are not wasted or misused. o Does not incur incidental overtime. o Understands the implications of the cost of staffing decisions. o Identifies observed opportunities for cost savings. Well informed about the Professional Advancement Program (PEAK) and considers the opportunity to participate. Demonstrates healthcare informatics competency to manage patient care, outcome data, and current and emerging healthcare technology. Understands nursing sensitive outcomes and knows how to navigate the nursing scorecard. Participates and/or leads improvement initiatives to improve outcomes. Identifies own learning needs and actively assures learning needs are met. o Seeks out opportunities to meet needs and attends all required programs. o Maintains CEU’s for nursing licensure. o Maintains compliance with mandatory education and annual nursing competencies. Recognizes individual preferences regarding an environment of constant change and understands change management. Develops effective methods to cope with and incorporate learning from a fast-paced, ever changing environment. Understands the principles and methodology of quality improvement; progresses to participating in and/or leading QI initiatives at the unit or organizational level. Understands and contributes to the science of nursing: o Develops a sense of inquiry. o Reads articles pertinent to the patient population. o Performs literature reviews. o Develops clinical questions and advances understanding and application of evidence based practice. o Understands the nursing research process and utilizes resources to participate in research projects. Participates in activities that contribute to improving the health of the community. Education Qualifications Technical Diploma Nursing Required Bachelor's Degree Nursing Preferred Experience Qualifications At least one (1) year RN experience. Required Prior experience in pediatrics or area of specialty Preferred Skills and Abilities Computer Competency Basic use of a computer (mouse, keyboard, printer, USB ports). Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype). Web browsing, intranet search, document access. Use of shared network file space. Basic use of patient facing technology (e.g. IV pumps, point of care devices, CR monitors). Navigation and use of clinical communication systems. Information Literacy Determines the nature and extent of clinical information needed and uses the appropriate technology to access it. Accesses needed information effectively and efficiently. Evaluates information and its sources critically and appropriately incorporates it into clinical practice. Evaluates outcomes of the use of information. Information Management Literacy Navigation of the electronic health record system. Ability to locate and review specific patient data in variousclinical information systems. Effectively uses clinical decision support tools. Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems. Ability to collect clinical data using quality improvement tools. Licenses and Certifications Registered Nurse (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Registered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (New Jersey) - New Jersey State Licensing Board - upon hire - Required and Cardiopulmonary Resuscitation (CPR) - issued through on organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross). - upon hire - Required To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more. EEO / VEVRAA Federal Contractor | Tobacco Statement SALARY RANGE: $48.30 - $58.15 Hourly Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly. ------------------- At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.
RN New Grad Med-Surg Full-time
Banner Health

Registered Nurse RN New Grad Medical Surgical

Banner Health Glendale, AZ
Primary City/State: Glendale, Arizona Department Name: M/S-2A-Hosp Work Shift: Night Job Category: Nursing Great nursing careers start with great training. Nurses at Banner Health enjoy some of the best on-the-job-training in the industry. We care about you, your nursing career today and your future. Apply today and build your career. The New Graduate RN Residency Program at Banner Health has received the highest accreditation by the American Nurses Credentialing Center (ANCC) as a Practice Transition Accreditation Program® (PTAP). Banner Health’s New Nurse Experience (NNE) provides a collaborative learning environment where you can refine your nursing skills, enhance your knowledge, and transition from a new graduate to a fully competent, professional nurse at Banner Health. About our program: The Banner Health New Nurse Experience is a full-time Registered Nurse position that assists you in transitioning from a new graduate to a fully competent, professional nurse at Banner Health. This program provides a collaborative learning environment in which you can refine your nursing skills, enhance your knowledge, and develop new personal and professional relationships. Successful candidates will be placed in specific units at Banner Health facilities to be clinically mentored by unit staff and educators. We offer all of our New Grads multiple Career Pathways and development opportunities to achieve your long-term career goals. Whether you are wanting to go into a specialty unit, leadership roles, non-bedside nursing opportunities, or any other sector of nursing - we will help you get there! The expectation is that you will stay on your NNE unit for at least 12 months to get a full and comprehensive training experience! New Grads will also need to live within a reasonable commute distance of the facility they are hired into. Most new nurses will work three 12 hour shifts, which will include weekend and holiday rotations with other staff members. Program Activities Include: · Clinical experiences with a preceptor · Training in our state-of-the-art Banner Simulation Center · Competency and skills assessment and verification · Orientation to the Cerner electronic medical health record system · Patient care skills lab that provides hands-on experience with equipment · e-Learning modules · Resources for professional and personal development Requirements to Apply Online: · Recent or Upcoming graduation from an accredited nursing program · BSN is preferred - open to ADN at select locations · Current BLS card (through either American Heart Association, Red Cross, or ASHI) or ability to obtain certification before a start date · No More than 12 months of RN experience · Previous healthcare experience is preferred * Please note the email you apply with is where all updates and information will be sent to, even after you graduate. We recommend applying with a personal email rather than a school email address. Application Deadlines/Process: It is recommended that you apply no earlier than 60 days prior to your graduation date. * If you have completed a Banner Health Student Preceptorship or are a current Nurse Extern with Banner Health, please apply at R4386490. Benefits/Compensation: This is a full time, benefitted, and paid position. Enjoy a flat rate $3/hour weekend shift differential and an 18%-night shift differential when applicable. All New Grad RN positions are eligible for Banner Health’s “Total Rewards Compensation Package”, which includes Health/Dental/Vision insurance (if employee desires), PTO/Sick time accrual, 401K, and a long list of other benefits. Benefits begin the 1st of the month following your start date. Unit Description: As a Registered Nurse with the Medical Surgical team at Banner Thunderbird Medical Center , you will have the opportunity to use your experience and skills with our patient population. You will be a part of our amazing team of professionals. Our state-of-the-art Level 1 Trauma Facility and Medical Surgical units specialize in providing the highest levels of care to patients with diverse medical and surgical needs. Our 4 active Medical Surgical units, General, Oncology, Behavioral health, and Trauma , range from 20-30 private room beds with highly complex patient populations with a focus on a teamwork. We have a family centered quality care model with an interdisciplinary team approach. Our care includes 24-hour Hospitalist coverage, and dedicated Respiratory Therapists, Nutritionists, Case Management, Social Services, PT/OT and Pharmacists. 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
RN Labor and Delivery Manager/Supervisor Full-time
The George Washington University Hospital

Clinical Supervisor RN Labor & Delivery Full Time Days

The George Washington University Hospital Washington, DC
Responsibilities Job Title: Clinical Supervisor- Labor & Delivery Status: Full Time Schedule: Day Join Our Exceptional Team at George Washington University Hospital Since opening its doors in 2002, George Washington University Hospital has been at the forefront of medical innovation, providing cutting-edge care in a state-of-the-art facility. As a 395-bed tertiary care, academic medical center located in the heart of downtown Washington, DC, our hospital is renowned for its Level I Trauma Center and Level III NICU. We offer unparalleled expertise in cardiac, cancer, neurosciences, women’s health, and advanced surgical procedures, including robotic and minimally invasive techniques. Operated by Universal Health Services, Inc. (UHS), one of the nation’s leading healthcare providers, we are committed to excellence in patient care and organizational growth. GWUH offers comprehensive benefits such as: Challenging and rewarding work environment Competitive Compensation Career development opportunities across UHS and our 300+ locations! Excellent Medical, Dental, Vision, and Prescription Drug Plan Generous Paid Time Off 401(K) with company match and discounted stock plan Tuition Reimbursement SoFi Student Loan Refinancing Program Employee Assistance Program Career development opportunities within UHS and its Subsidiaries More information is available on our Benefits Guest Website: benefits.uhsguest.com Labor and Delivery We provide clinically advanced, personalized childbirth services with a collaborative approach with Advanced Practitioners and Providers. As a teaching and research hospital, advanced science is accessible for the most challenging birth situations. WHAT YOU WILL DO Provides shift to shift oversight for clinical practice, staffing, patient flow, safety, service, and utilization of resources for daily operations. Maintains the environment of care. Provides care to patients in a competent, capable, caring and efficient manner. Care provided is appropriate to the age of the patients served. Role models organizational values Provides real-time feedback to staff to improve performance Leads/Participates in department process improvement to improve projects outcomes Leadership Responsibilities Evaluates daily clinical practice against defined standards and provides constructive feedback and preventative counseling to staff Acts as a resource for employees on matters of clinical practice and issue resolution Clearly communicates organizational and department messages to staff Participates in the development of long- and short-range goals for the department and services that are consistent with goals and objectives of the hospital Assists Nurse Manager in monitoring, confirming, educating staff of safety procedures and regulatory compliance. Proactively identifies opportunities for improvement and takes appropriate corrective action and escalates concerns when needed. Participates in hiring process and helps coordinate peer interviews Patient Experience Observes that patient engagement and safety strategies (use of communication boards, hourly rounding, bedside shift report, multidisciplinary rounds, care bundles etc.) are consistently practiced. Provides staff and manager feedback on the quality and consistency of these practices. Oversee patient callbacks. Participates in daily leader rounding to assess satisfaction with the patient experience Communicates department patient experience results and action plans to staff People Responsibilities Respond to employee concerns as they are identified and escalate concerns to the Nurse Manager as needed In collaboration with Nurse Manager develops action plans (based on data analysis) that result in improvement in employee engagement data with sustained improvement over time Provides employees with clarity about expectations and clear feedback about performance; deals with performance problems in an appropriate and timely way and escalates concerns to the Nurse Manager as needed Participate in unit-based professional governance In collaboration with Nurse Manager and Educator(s) coordinate unit-based orientation and selection of preceptors and supports on boarding of new employees Quality, Safety, Compliance Responsibilities Contributes to the development of department-based quality/process improvement plans and supports the implementation of improvement strategies and evidence-based practice changes and monitor the effectiveness of improvement efforts. Participate in lead daily management and other improvement projects. Daily evaluation of clinical care to ensure safety, reduce complications, and improve patient outcomes Finance Responsibilities Ensures daily staffing is aligned with the budgeted staffing plan and clinical needs of patients. Monitors daily productivity Assists with staffing and patient flow beds each shift, proactively forecasts staffing needs Utilizes a proactive approach to patient transfers and discharges; works with Case Management and clinical partners to identify barriers to and ensure a timely and efficient transfer/hospital discharge Monitors appropriate use of supplies and equipment Provider Partnership Demonstrate actions that reflect a pro-active approach to identify and respond to physician issue Provides feedback to residents and attending providers about clinical practice Works with providers to facilitate effective plans of care Facilitates partnership to improve practice outcomes via interdisciplinary rounds Responds to provider feedback and resolves concerns by end of shift or escalates issues as needed Qualifications WHAT WE EXPECT OF YOU We seek nurses who passionately support an individualized birth experience BSN required. 1 year charge nurse experience preferred Professional experience that demonstrates ability to understand the clinical practice environment. 2 years clinical nursing experience preferred Certification in specialty preferred Successful completion of unit specific certifications (PALS, ACLS, TNCC, NRP, chemotherapy certification, etc.) Member of professional practice organization pertinent to area of practice preferred If you have already submitted your application online and have a specific question, please feel free to contact Stephanie, Human Resources Recruiter at 202-715-5671. Please allow two to three business days for the manager to review your application. Thank you for your interest! About GW Hospital: The George Washington University Hospital (GW Hospital) is a 395-bed tertiary care, academic medical center located in downtown Washington, DC, next to the Foggy Bottom metro. GW Hospital serves a diverse group of patients—from residents to our nation’s leaders. As an academic medical center, GW Hospital has the resources and clinical expertise necessary to provide specialized, complex care. This expertise includes cardiac, cancer, neurosciences, women’s health, trauma, and advanced surgery including robotic and minimally invasive surgery. https://www.gwhospital.com/ GW Hospital is jointly owned and operated by George Washington University and a subsidiary of Universal Health Services, Inc. (UHS). The GW School of Medicine and Health Sciences (SMHS), adjacent to the hospital, is the 11th oldest medical center in the country and the first in the nation’s capital. The mission of GW Hospital is to provide the highest quality healthcare, advanced medical technology, and world-class service to its patients in an academic medical center dedicated to education and research. 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 were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 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 all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com Pay Transparency: To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience. 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.
RN Labor and Delivery Manager/Supervisor Full-time
The George Washington University Hospital

Clinical Supervisor RN Labor & Delivery Full Time Days

The George Washington University Hospital Northwest Washington, DC
Responsibilities Job Title: Clinical Supervisor- Labor & Delivery Status: Full Time Schedule: Day Join Our Exceptional Team at George Washington University Hospital Since opening its doors in 2002, George Washington University Hospital has been at the forefront of medical innovation, providing cutting-edge care in a state-of-the-art facility. As a 395-bed tertiary care, academic medical center located in the heart of downtown Washington, DC, our hospital is renowned for its Level I Trauma Center and Level III NICU. We offer unparalleled expertise in cardiac, cancer, neurosciences, women’s health, and advanced surgical procedures, including robotic and minimally invasive techniques. Operated by Universal Health Services, Inc. (UHS), one of the nation’s leading healthcare providers, we are committed to excellence in patient care and organizational growth. GWUH offers comprehensive benefits such as: Challenging and rewarding work environment Competitive Compensation Career development opportunities across UHS and our 300+ locations! Excellent Medical, Dental, Vision, and Prescription Drug Plan Generous Paid Time Off 401(K) with company match and discounted stock plan Tuition Reimbursement SoFi Student Loan Refinancing Program Employee Assistance Program Career development opportunities within UHS and its Subsidiaries More information is available on our Benefits Guest Website: benefits.uhsguest.com Labor and Delivery We provide clinically advanced, personalized childbirth services with a collaborative approach with Advanced Practitioners and Providers. As a teaching and research hospital, advanced science is accessible for the most challenging birth situations. WHAT YOU WILL DO Provides shift to shift oversight for clinical practice, staffing, patient flow, safety, service, and utilization of resources for daily operations. Maintains the environment of care. Provides care to patients in a competent, capable, caring and efficient manner. Care provided is appropriate to the age of the patients served. Role models organizational values Provides real-time feedback to staff to improve performance Leads/Participates in department process improvement to improve projects outcomes Leadership Responsibilities Evaluates daily clinical practice against defined standards and provides constructive feedback and preventative counseling to staff Acts as a resource for employees on matters of clinical practice and issue resolution Clearly communicates organizational and department messages to staff Participates in the development of long- and short-range goals for the department and services that are consistent with goals and objectives of the hospital Assists Nurse Manager in monitoring, confirming, educating staff of safety procedures and regulatory compliance. Proactively identifies opportunities for improvement and takes appropriate corrective action and escalates concerns when needed. Participates in hiring process and helps coordinate peer interviews Patient Experience Observes that patient engagement and safety strategies (use of communication boards, hourly rounding, bedside shift report, multidisciplinary rounds, care bundles etc.) are consistently practiced. Provides staff and manager feedback on the quality and consistency of these practices. Oversee patient callbacks. Participates in daily leader rounding to assess satisfaction with the patient experience Communicates department patient experience results and action plans to staff People Responsibilities Respond to employee concerns as they are identified and escalate concerns to the Nurse Manager as needed In collaboration with Nurse Manager develops action plans (based on data analysis) that result in improvement in employee engagement data with sustained improvement over time Provides employees with clarity about expectations and clear feedback about performance; deals with performance problems in an appropriate and timely way and escalates concerns to the Nurse Manager as needed Participate in unit-based professional governance In collaboration with Nurse Manager and Educator(s) coordinate unit-based orientation and selection of preceptors and supports on boarding of new employees Quality, Safety, Compliance Responsibilities Contributes to the development of department-based quality/process improvement plans and supports the implementation of improvement strategies and evidence-based practice changes and monitor the effectiveness of improvement efforts. Participate in lead daily management and other improvement projects. Daily evaluation of clinical care to ensure safety, reduce complications, and improve patient outcomes Finance Responsibilities Ensures daily staffing is aligned with the budgeted staffing plan and clinical needs of patients. Monitors daily productivity Assists with staffing and patient flow beds each shift, proactively forecasts staffing needs Utilizes a proactive approach to patient transfers and discharges; works with Case Management and clinical partners to identify barriers to and ensure a timely and efficient transfer/hospital discharge Monitors appropriate use of supplies and equipment Provider Partnership Demonstrate actions that reflect a pro-active approach to identify and respond to physician issue Provides feedback to residents and attending providers about clinical practice Works with providers to facilitate effective plans of care Facilitates partnership to improve practice outcomes via interdisciplinary rounds Responds to provider feedback and resolves concerns by end of shift or escalates issues as needed Qualifications WHAT WE EXPECT OF YOU We seek nurses who passionately support an individualized birth experience BSN required. 1 year charge nurse experience preferred Professional experience that demonstrates ability to understand the clinical practice environment. 2 years clinical nursing experience preferred Certification in specialty preferred Successful completion of unit specific certifications (PALS, ACLS, TNCC, NRP, chemotherapy certification, etc.) Member of professional practice organization pertinent to area of practice preferred If you have already submitted your application online and have a specific question, please feel free to contact Stephanie, Human Resources Recruiter at 202-715-5671. Please allow two to three business days for the manager to review your application. Thank you for your interest! About GW Hospital: The George Washington University Hospital (GW Hospital) is a 395-bed tertiary care, academic medical center located in downtown Washington, DC, next to the Foggy Bottom metro. GW Hospital serves a diverse group of patients—from residents to our nation’s leaders. As an academic medical center, GW Hospital has the resources and clinical expertise necessary to provide specialized, complex care. This expertise includes cardiac, cancer, neurosciences, women’s health, trauma, and advanced surgery including robotic and minimally invasive surgery. https://www.gwhospital.com/ GW Hospital is jointly owned and operated by George Washington University and a subsidiary of Universal Health Services, Inc. (UHS). The GW School of Medicine and Health Sciences (SMHS), adjacent to the hospital, is the 11th oldest medical center in the country and the first in the nation’s capital. The mission of GW Hospital is to provide the highest quality healthcare, advanced medical technology, and world-class service to its patients in an academic medical center dedicated to education and research. 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 were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 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 all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com Pay Transparency: To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience. 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.
RN Med-Surg Full-time
Banner Health

Registered Nurse RN MedSurg

Banner Health Sterling, CO
$30.95 - $51.59 / hour
Primary City/State: Sterling, Colorado Department Name: Med/Surg-Hosp Work Shift: Night Job Category: Nursing **Hiring Incentive Available $20,000.00 for 1 year or more of experience as an RN or $10,000.00 New Grads** Banner Health has earned Great Place To Work® Certification™ for the third consecutive year. We’re committed to a workplace culture where team members trust the people they work for, take genuine pride in their work, and enjoy collaborating with colleagues. Join our exceptional nursing team at Sterling Regional Medical Center! We're seeking a dedicated Registered Nurse for our MedSurg Unit to become part of a collaborative, close-knit team that prioritizes patient safety and quality care. What Makes Us Special Collaborative Team Environment: Work alongside a great team of nurses who support each other and work closely together Award-Winning Safety: Recognized for outstanding patient safety metrics Varied Patient Care: Experience diverse patient populations and conditions in our medical/surgical unit Professional Growth: Opportunities to develop your skills in a supportive environment Position Details Shift: Night shift, 7:00 PM to 7:30 AM Schedule: Varied days with rotating weekends and holidays Unit Type: Medical/Surgical (no special services) Key Responsibilities Provide direct patient care in accordance with established policies and procedures Collaborate with interdisciplinary team members to ensure optimal patient outcomes Maintain accurate patient documentation and records Administer medications and treatments as ordered Monitor patient conditions and respond appropriately to changes Educate patients and families on health conditions and care plans Uphold our commitment to exceptional patient safety standards Why Banner Health? At Banner Health, we're committed to providing exceptional care to our patients and supporting our team members. Join us and be part of a healthcare organization that values teamwork, safety, and professional excellence. Since 1938, Sterling Regional MedCenter has been the center of healthcare excellence in Northeast Colorado providing care for more than 20,000 members in Logan County, and over 50,000 people in its larger market. Sterling Regional MedCenter is licensed for 25 beds with both Medical/Surgical and Intensive Care Units, as well as full Women and Infant Services. For obstetrics, Sterling utilizes a computerized intelligent OB program designed to reduce the chance of complications during labor. As a level III trauma designated hospital, Sterling has 24/7 coverage for Emergency Medicine, Anesthesia, General Surgery, Orthopedic Surgery, Imaging, Family Medicine/Peds, and Rehabilitation. Sterling boasts cutting edge technology facilitating telehealth access for sub-specialty and tertiary services and state-of-the-art equipment in Imaging, Laboratory, Operating Suites, Emergency Department, and Inpatient Units. The hospital continues to invest facility upgrades and new equipment. Attached to the hospital is the David Walsh Cancer Center, which provides both Medical and Radiation Oncology, with a beautiful infusion center and new linear accelerator. Sterling Regional is the only rural hospital in Colorado with a linear accelerator. In addition, Sterling Regional MedCenter is closely integrated with our Family Medicine and Surgical Specialty Clinics and the hospital and clinics are part of a 2-year, rural training track residency program affiliated with the University of Northern Colorado. Lastly, Sterling Regional MedCenter is one of Logan County's largest employers with approximately 300 employees and more than 20 physicians representing ten specialties and has been voted Best Employer in Northeastern Colorado for three years in a row. POSITION SUMMARY This position assesses, plans, implements, evaluates and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. This position is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of assigned patients. CORE FUNCTIONS 1. Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs. Reviews patient history and physical with patient/family and assures completion within appropriate timeframe. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessments according to patient need and as outlined in policy. 2. Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of are. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status. 3. Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided. 4. Evaluates the patient's and family's response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient's response and the effectiveness of patient teaching. 5. Documents assessment, planning, implementation and evaluation in the patient record. Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient's response to treatment. Notes physician orders accurately and in a timely manner. 6. Provides care based on the best evidence available and may participate in research activities within clinical practice. Participates in unit or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others through precepting and mentoring when appropriate. 7. Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations. 8. In some roles, this position may supervise staff and work flow of the department. 9.Interacts with all levels of staff in a variety of departments, physicians, patients, families and external contacts, such as employees of other health care institutions, community providers and agencies, concerning the health care of the patient. Interacts with other health care providers in numerous settings in order to report and ask for or clarify information. Also works with clergy to provide spiritual support. Synthesizes and prioritizes data from multiple sources to provide support for the human response of the patient and family to changes in health status. MINIMUM QUALIFICATIONS Must possess a current, valid RN license in state of practice, temporary/interim RN license in state of practice, or compact RN licensure for current state of practice. BLS certification is required. Additional certification or continuing education may be required based on area of practice. Relates throughout the interview process the experience, training and education needed to perform the job. Experience in the clinical area for which he or she is applying is desired. Must maintain clinical performance competencies appropriate to the area in which they work as demonstrated through annual validations. Banner Registry and Travel acute care positions require a minimum of one year experience in an acute care hospital setting. Experience must include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice positions require a minimum of one year experience as a Registered Nurse in a physician practice or an acute care setting. In a Home Health setting, team members must be able to operate personal vehicle and possess a valid driver's license. Auto insurance coverage is also required to be active and maintained. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral or BUMG, BUMCT in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. Employees working at BUMCS in a Behavioral Health clinical setting must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working for Banner Home Care AZ must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working in any Banner Staffing (BSS) Behavioral Health role in Arizona must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. PREFERRED QUALIFICATIONS Bachelor's degree preferred. Professional certification preferred. Additional related education and/or experience preferred. Estimated Pay Range: $30.95 - $51.59 / hour Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained. Anticipated Closing Window (actual close date may be sooner): 2026-12-09 EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy
RN Pediatric PCU Part-time
Children’s Hospital of Philadelphia

Registered Nurse, Cardiac Stepdown Unit

Children’s Hospital of Philadelphia Philadelphia, PA
SHIFT: Rotating (United States of America) Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career. CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview The Cardiac Care Unit (CCU) provides intermediate level care to patients with congenital and acquired heart disease as well as those with primary rhythm abnormalities. Patients include medical and surgical cardiac patients with an age range typically spanning newborns to young adults. These patients may include those with non-invasive ventilation, such as CPAP/BiPaP and stable trachs. Some patients require continuous inotropic infusions to support their heart function while others require mechanical support such as ventricular assist devices (VADs). As a unit dedicated to inter-professional collaboration and education, we strive to provide care to our patients and families while on the continuum of their inpatient stay within the Cardiac Center. This is a part-time, rotating shift position. The Clinical Nurse practices at the level of an advanced beginner to expert practitioner of professional nursing in accordance with, and guided by the CHOP Nursing Professional Practice Model. The nurse at this level demonstrates competence in caring for patients and families and progresses to caring for those with the most complex problems/highest acuity in the designated clinical area. Provides age/developmentally appropriate care. Care is delivered through RN leadership for patient care within the framework of family-centered care. The Clinical Nurse adheres to the organizational and nursing department mission, vision, and values. Clinical Nurses practice in accordance with the ANA Code of Ethics; the ANA Standards of Clinical Nursing Practice; practice standards of applicable specialty nursing organizations; and CHOP developed standards of nursing practice. The professional nurse practices within the defined scope of practice designated by the Nurse Practice Acts of Pennsylvania and/or New Jersey, depending on the assigned work site. What you will do Clinical Practice Follows the nursing process to deliver safe, compassionate, and culturally effective care. Gathers and recognizes/synthesizes assessment data to determine the patient/family plan of care, pertinent data to be shared with care team, and tasks to be delegated. Recognizes and/or seeks resources to recognize clinical changes that are indicative of patient deterioration; utilizes the CAT team when appropriate. Collaborates with the patient, family and multidisciplinary team to coordinate all facets of patient care. Develops, implements and/or revises the patient’s plan of care on admission and during the course of the hospitalization. Plans of care are outcomes focused and include goals as well as required interventions. Plans are developed in partnership with the patient, family, and the interdisciplinary care team. Care is coordinated across the continuum – understands and utilizes case management resources. Consistently follows evidence based practice bundles and nursing standards/procedures to provide nursing care that eliminates preventable events of patient harm and promotes excellent patient outcomes. Recognizes and addresses situations which present ethical dilemmas and/or moral distress. Takes steps to actively address the situation. Seeks resources as needed to resolve the situation. Demonstrates competence in teaching patients/families and progresses to an expert educator of patients/families. Evaluates and documents the care provided on each assigned shift. Accountable for the rapid adoption and implementation of clinical practice changes into own practice. Communication Documents the evaluation of nursing interventions and outcomes of nursing care utilizing hospital standards, policies and procedures. Consistently follows safe hand-off practices as defined in patient care standards and procedures. Utilizes and exemplifies safety behaviors for error prevention. Identifies potential safety concerns and communicates with unit leadership as appropriate. Enters safety nets when applicable, including good catch/near miss situations. Effective verbal and nonverbal communication techniques and good listening skills are used to empathically communicate with patients/ families, and colleagues. Encourages patient/family self-advocacy. Collaboration Demonstrates effective teamwork as a member of the interdisciplinary care team, fostering and exemplifying a culture of respect. Recognizes/addresses situations where disrespectful collaboration may impact patient care and/or create non-collaborative relationships. Seeks resources as needed to resolve situations involving incivility and/or disrespect. Actively participates in interdisciplinary patient care rounds and/or meetings and makes recommendations to the plan of care that reflect nursing goals, interventions, and expected outcomes. Revises the plan of care according to the patient care decisions made on rounds. Incorporates evidence based practice into direct clinical care in collaboration with other members of the multidisciplinary team. Develops and implements effective partnerships with members of the ancillary staff; delegates tasks effectively to assure comprehensive nursing care is provided. Develops and sustains professional, well- boundary, therapeutic relationships with patients and families in which all actions are in the best interest of the patient and family and there is no personal gain at the patient/families expense. Professional Development Models appearance and behaviors that promote a positive image of professional nursing. Expands clinical judgment and critical thinking skills with increased experience o Demonstrates mastery of the principles of Family Centered Care, including dignity and respect, information sharing, participation, and collaboration. Demonstrates understanding of optimal patient/family experiences and incorporates into care delivery. Has a working knowledge of patient/family experience results (NRC Picker) at the unit and organizational level. Participates and/or leads in initiatives to improve satisfaction scores. Practices within a shared decision making environment. Familiar with and participates in Shared Governance council activities at the unit and/or department level. Progresses to leading council activities at the unit and/or department levels. Familiar with Magnet designation and the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Participates in ongoing designation activities such as serving as a unit based Magnet champion. Demonstrates fiscal stewardship: o Manages own time to accomplish direct/indirect care in a cost-effective manner o Conserves unit and organizational resources; assures supplies are not wasted or misused. o Does not incur incidental overtime. o Understands the implications of the cost of staffing decisions. o Identifies observed opportunities for cost savings. Well informed about the Professional Advancement Program (PEAK) and considers the opportunity to participate. Demonstrates healthcare informatics competency to manage patient care, outcome data, and current and emerging healthcare technology. Understands nursing sensitive outcomes and knows how to navigate the nursing scorecard. Participates and/or leads improvement initiatives to improve outcomes. Identifies own learning needs and actively assures learning needs are met. o Seeks out opportunities to meet needs and attends all required programs. o Maintains CEU’s for nursing licensure. o Maintains compliance with mandatory education and annual nursing competencies. Recognizes individual preferences regarding an environment of constant change and understands change management. Develops effective methods to cope with and incorporate learning from a fast-paced, ever changing environment. Understands the principles and methodology of quality improvement; progresses to participating in and/or leading QI initiatives at the unit or organizational level. Understands and contributes to the science of nursing: o Develops a sense of inquiry. o Reads articles pertinent to the patient population. o Performs literature reviews. o Develops clinical questions and advances understanding and application of evidence based practice. o Understands the nursing research process and utilizes resources to participate in research projects. Participates in activities that contribute to improving the health of the community. Education Qualifications Technical Diploma Nursing - Required Bachelor's Degree Nursing - Preferred Experience Qualifications At least one (1) year RN experience - Required Prior experience in pediatrics or area of specialty - Preferred Skills and Abilities Computer Competency Basic use of a computer (mouse, keyboard, printer, USB ports). Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype). Web browsing, intranet search, document access. Use of shared network file space. Basic use of patient facing technology (e.g. IV pumps, point of care devices, CR monitors). Navigation and use of clinical communication systems. Information Literacy Determines the nature and extent of clinical information needed and uses the appropriate technology to access it. Accesses needed information effectively and efficiently. Evaluates information and its sources critically and appropriately incorporates it into clinical practice. Evaluates outcomes of the use of information. Information Management Literacy Navigation of the electronic health record system. Ability to locate and review specific patient data in various clinical information systems. Effectively uses clinical decision support tools. Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems. Ability to collect clinical data using quality improvement tools. Licenses and Certifications Registered Nurse (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Registered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (New Jersey) - New Jersey State Licensing Board - upon hire - Required and Cardiopulmonary Resuscitation (CPR) - issued through on organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross). - upon hire - Required To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more. EEO / VEVRAA Federal Contractor | Tobacco Statement SALARY RANGE: $48.30 - $58.15 Hourly Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly. ------------------- At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.
NP OR Outpatient Full-time
Vanderbilt University Medical Center

Nurse Practitioner/Physician Assistant - Vanderbilt Perioperative Services

Vanderbilt University Medical Center Nashville, TN
Discover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: VPEC Job Summary: The Advanced Practice Provider (APP) plays a vital role in delivering specialized care and managing the health needs of patients in either inpatient, ambulatory, or a combination of both settings. With advanced training and expertise, the APP focuses on subspecialized care, including chronic illness and disease management, ensuring continuity of care throughout the patient’s healthcare journey, which may span multiple years. This role involves specialization in a specific organ system, where the APP provides expert consultation within their area of expertise as appropriate. The APP is integral to supporting patients across the continuum of care in both inpatient and outpatient specialty settings, collaborating with multidisciplinary teams to achieve optimal patient outcomes. . Outpatient Position Position Hours: 4 - 10 Hour Shifts Per Week (8:00am - 6:00pm) Weekdays No Weekends or Holidays Department Summary: Welcome to the VPEC clinic, the clinic is located at Vanderbilt Health at One Hundred Oaks, 719 Thompson Lane Suite 21100 Nashville, TN 37204. We provide preoperative anesthetic evaluations for individuals undergoing elective surgery for the adult population. We are looking for highly motivated individuals that would like to join a growing clinic. Our excellent, patient centered care is directed and/or delivered by a collaborative team made up of Attending Anesthesiologist’s, Resident Physicians and Nurse Practitioners. The Leadership Team is comprised of a Medical Director, Administrative Director, Clinic Manager, a lead Clinical NP. Clinic staff members include Registered Nurses, Licensed Practical Nurses and Patient Services Representatives. Various support resources are also available, such as, social work, referral specialists, laboratory and radiology. We are committed to providing excellent service to our patients and a supportive and caring work environment for our staff. Nurse Practitioner (FNP, ANP, AGPCNP, AGACNP) or Physician Assistant (PA) 1 or more years of APP experience required KEY RESPONSIBILITIES Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care. In collaboration, provides healthcare services for primary, acute and complex care of patients and manages patients’ overall care, identifying expected outcomes for diagnoses. Orders, performs, interprets and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. Forms differential diagnoses and treats acute and chronic conditions. Prescribes therapeutic interventions for both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes. Utilizes evidence-based, approved practice protocols in planning and implementing care. Initiates appropriate referrals and consultations Provides specialty specific consultation services upon request and within a specialty scope of practice. Facilitates the patient’s transition between and within health care settings. The responsibilities listed are a general overview of the position and additional duties may be assigned. TECHNICAL CAPABILITIES Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice. Patient and Family Centered Care (Advanced): Demonstrates care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life. Within scope of licensure and certification, manages previously diagnosed and undiagnosed patients. Uses health assessment skills to differentiate between normal, variations of normal, and abnormal findings. Employes screening and diagnostic strategies in the development of diagnoses. Prescribes medications within scope of practice. Manages health/illness status of patients and families over time and across the continuum. Provides patient/centered care recognizing the patient or designee as a full partner in decision making. Creates a climate of patient/centered care to include confidentiality privacy, comfort emotional support, mutual trust, and respect. Incorporates cultural and spiritual preferences, values and beliefs into health care. Preserves the patient’s control over decision making by negotiating a mutually acceptable plan of care. Integrates ethical principles into decision making. Uses electronic health record to capture data on variables for the evaluation and management of patient care. Clearly documents findings, assessment and plan of care. Clinical Knowledge and Practice (Advanced): Demonstrates established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others. Demonstrates knowledge of population focus but also other sciences that support his/her field of practice. Demonstrates knowledge of common and important health issues affecting society and other societies around the globe. Demonstrates commitment in maintaining current evidence-based knowledge through continuous learning. Educates patients, families, students and other members of the healthcare team in clinical topics and application of clinical knowledge. Practice-Based Scholarly Inquiry and Integration (Advanced): Demonstrates the use of scientific evidence and methods to investigate, evaluate and improve patient care practices. Anticipates variations in practice and is proactive in implementing interventions to improve quality. Uses best available evidence to continuously improve quality of clinical practice. Generates knowledge from clinical practice to improve practice and patient outcomes. Reviews data and evidence to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science. Interpersonal and Communication Skills (Advanced): Demonstrates interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams. Communicates practice knowledge effectively both orally and in writing. Professionalism (Advanced): Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice. Our Nursing Philosophy: We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being. As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered: Affordable High Quality Health Plan Options Dental and /or vision plan 403 (b) retirement plan Paid Time off (flex PTO) Tuition Reimbursement and adoption assistance (maximums applied) Short-Long term disability Subsidized backup childcare And many more... Ask us about our current inpatient nursing supplemental Pay Program! Achieve the Remarkable: Learn more about VUMC Nursing here . Core Accountabilities: Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members. Core Capabilities : Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: LIC-Licensed Nurse Practitioner - Tennessee, LIC-Physician's Assistant Certified - Tennessee, LIC-Registered Nurse - Tennessee Work Experience: Relevant Work Experience Experience Level: Less than 1 year Education: Master's This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
RN Labor and Delivery Part-time
Baystate Health

Registered Nurse- The Birthplace (24 hours, 7a-7:30p)

Baystate Health Greenfield, MA
$37.98 - $62.87 / hour
Department: Baystate Franklin Medical Center Schedule: 7am-7:30pm, 24 hours Summary: Responsible for the provision of basic nursing care to assigned patients in accordance with current FMC Standards of Care. Administers and monitors therapeutic interventions proficiently. Demonstrates proficiency in applying the nursing process to assigned patients and families. Assumes accountability for the outcomes of nursing care. Collaborates with health team members, patients/families in the provision of care. Provides direct supervision to other health team members in the implementation of the patient care plan. Effectively delegates care to peers, Licensed Practical Nurses, Nursing Assistants, Orderlies and other direct care givers consistent with their level of education and expertise. Acts as an advocate for patients/families/significant others. Assumes accountability for own professional practice and for aspects of nursing care delegated to others. Assumes accountability for own professional practice and for aspects of nursing care delegated to others. Practices within accepted ethical and legal parameters of nursing. This description covers the essential functions of the position. Job Responsibilities: 1) Provides age-appropriate care to patients. Demonstrates knowledge of developmental stages for the following age groups and applies developmental theories and concepts when planning and implementing care for patients. 2) For each assigned patient, the nurse will proficiently perform a comprehensive nursing assessment and use professional judgment to obtain selective data to arrive at nursing diagnoses and discharge planning needs. The nurse will perform a systematic comprehensive assessment of the health needs of all assigned patients 100% of the time. Ensures that all assigned patients have a completed admission profile, health database/patient history. Elicits relevant selective data for a comprehensive nursing history, incorporating patient strengths and limitations. Integrates a variety of methods to collect relevant patient data, (e.g., nursing history, observation, examination, communication with colleagues and chart review) to formulate realistic nursing diagnoses. Anticipates appropriate health care needs beyond acute care setting. 3) Performs a proficient ongoing assessment of assigned patients recognizing subtle changes in health status 100% of time. Recognizes changes that require immediate intervention. Anticipates consistently predictable changes in patient status. Determines frequency of observation based on an ongoing assessment. Furnishes physician and appropriate health team members with pertinent assessment data. Documents pertinent assessment data in a clear and concise manner. 4) For each assigned patient, the nurse will formulate a detailed, realistic plan of care specific to each patient's identified needs. Develops and updates a realistic plan of care with measurable and achievable goals 100% of the time. Upon identification of an actual or potential problem, the nurse promptly initiates a plan of care and updates per unit specific guidelines. Reassesses priorities and makes appropriate changes in plan of care with patient/family's input. Formulates realistic and attainable goals appropriate to the hospital setting and discharge needs. 5) Analyzes the psycho-social impact of illness & hospitalization on individuals and families 100% of the time Collaborates and negotiates with patients and families to arrive at an agreed upon plan of care. utilizes and communicates with physicians and interdisciplinary team members to establish goals. Incorporates psycho-social, spiritual and cultural needs into plan of care. 6) For each assigned patient the nurse will proficiently implement the individualized plan of care. Demonstrates proficiency in clinical nursing skills 100% of the time. Independently organizes own assignment and prioritizes plan of care accurately. Delegates aspects of care to other personnel consistent with job description and skill 100% of the time. Consistently initiates interventions to maintain a safe and therapeutic environment 100% of the time as evidenced by an absence of preventable incidents. Anticipates outcomes of physician orders and nursing actions and seeks explanation when in question. Demonstrates flexibility in care without deviating from FMC standards, procedures or policies. Responds consistently, to urgent and life-threatening situations with appropriate actions. 7) Provides formal and informal teaching relevant to health care needs of patients utilizing available resources 100% of the time. Ensures patients/families are informed concerning treatments, procedures and hospital policies and routines. Documents each phase of the learning process, reinforcing teaching and implementing change as needed. Considers patient/family's level of knowledge and readiness to learn. 8) Effectively implements and revises the discharge plan 100% of the time. Initiates interdisciplinary discharge plan at time of admission. Completes appropriate discharge/transfer form and documents accordingly. Prepares patient/family for the changes in the health care delivery system. 9) For each assigned patient the nurse will establish a pattern of ongoing evaluation and modification of patient care interventions while demonstrating accountability and responsibility for professional nursing practice. Evaluates and modifies patient plan of care on a continuing basis 100% of the time. Observes patient responses to treatment, illnesses and hospitalization and compares the expected with the actual outcomes. Documents present status and notes significant alterations from anticipated status. Utilizes available resources to assist in the evaluation process. 10) Accurately determines the effectiveness of his/her nursing care 100% of the time. Evaluates whether selected nursing interventions were appropriate to reach set goals. Uses patient outcomes to evaluate effectiveness of nursing interventions. Continually re-evaluates strengths and weaknesses for accountability of nursing care. Demonstrates credibility and honesty in nursing practice. 11) Accurately and concisely communicates pertinent patient information while maintaining confidentiality 100% of the time. Documents patient care and patient responses promptly, clearly and thoroughly on appropriate forms. Understands and utilizes professional hierarchy in problem solving related to significant changes in patient status and documents appropriately. Communicates pertinent patient information in a concise manner through shift to shift report and intra-hospital transfer. Maintains a patient's right to privacy and confidentiality. 12) Acts as an advocate for patient families 100% of the time. Acts as a representative in communicating patient/family's needs to physicians and other health care team members. Understands and supports Franklin Medical Center's "Patients' Bill of Rights." Intervenes consistently, in situations where patient integrity is threatened. Supports and encourages patient/family's decisions maintaining respect for life and dignity. 13) Will assume accountability for management of patient care and will provide direct supervision to other health team members. Demonstrates behaviors that will promote effective management of patient care 100% of the time. Develops and evaluates patient care assignments, considering the patient needs and capability of the nursing personnel. Promotes cost containment by utilizing human and material resources efficiently. Provides constructive feedback regarding performance of peers to unit supervisor/designated individuals. Consistently initiates incident reports when indicated and provides information for timely follow-up. Orients to charge role and acts as alternate charge nurse as designated. 14) Will demonstrate proficiency in applying the principles of teaching/learning to patient/family & with minimal assistance identify own professional educational needs. Assesses each patient/family's comprehensive learning needs in relation to health and illness 100% of the time. Individualizes standardized teaching plans to meet specific needs of patient/family. Participates in patient care conferences (discharge planning) and communicates critical information at change of shift report. 15) Identifies own professional educational needs with minimal guidance 100% of the time. Performs a realistic self evaluation to determine own strengths and weaknesses. Orients to preceptor role. Consistently supports the growth and development of students and new personnel. Attends continuing education programs (5-8 contact hours or equivalent) related to the achievement of own professional goals as evidenced by self report with appropriate documentation. Is a member of unit-based committee, task force or change producing group. Attends and participates in 80-90% of Unit Staff meetings as evidenced by attendance roster/review of minutes. Demonstrates ability to develop a therapeutic relationship with patients, families and other members of the health care team. Promotes collaboration/team building and healthy interpersonal relationships with others. 16) Will promote active participation in quality assurance research activities of health team members within realm of responsibility. Demonstrates active participation in quality assurance/research activities 100% of the time. Identifies 1-2 patients and/or nursing problems that need to be systematically investigated as evidenced by committee reports and/or evaluation/research tools. Communicates consistently with colleagues about quality assurance/research findings and their relevance to nursing practice. Participates in and ensures follow-through of research/quality assurance data collection. Is able to state current Unit CQI initiatives. Communicates an attitude of positive customer focused interactions in daily work activities. Required Work Experience: 1) None Preferred Work Experience: 1) Minimum of 1 year of nursing experience Skills and Competencies: 1) Evidence of a commitment to professional growth through participation in continuing education Department Certification Requirements MHU - CPI within 30 days of hire Oncology - Oncology certification required within 2 years of hire Quality – no required certifications Cardiopulmonary – ACLS required by end of orientation ICU and Med/Surg - ACLS required by end of orientation OB – NRP and ACLS required by the end of orientation Surgical Services - ACLS and PALS required by the end of orientation ED - ACLS, PALS, and CPI by the end of orientation Education: Diploma in Nursing (Required) Certifications: Basic Life Support - American Heart AssociationAmerican Heart AssociationAmerican Heart Association, Registered Nurse - State of MassachusettsState of MassachusettsState of Massachusetts Compensation Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees. Minimum - Midpoint - Maximum $37.98 - $50.43 - $62.87 Equal Employment Opportunity Employer Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
RN PCU Full-time
Bon Secours Mercy Health

Registered Nurse (RN) – Progressive Care (Step down) – St. Joseph Warren Hospital

Bon Secours Mercy Health Warren, OH
Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 36 Work Shift: Days (United States of America) Mercy Health The Intermediate Care (IMC) Unit is currently seeking dedicated and compassionate Registered Nurses to join our award-winning team. Our 30-bed unit includes 14 private rooms and 8 semi-private rooms, and we provide care for a diverse patient population including those with cardiac and pulmonary conditions, as well as patients experiencing surgical complications. Unique to our unit, we are one of the few areas outside of the ICU that cares for ventilator-dependent patients with tracheostomies. We strive to maintain a 1:4 nurse-to-patient ratio to ensure safe, high-quality care and support for our staff. The IMC team is a dynamic mix of experience levels, from new graduate nurses to professionals with over 30 years of service. We are proud recipients of the Daisy Team Award, recognizing our commitment to excellence, teamwork, and patient-centered care. If you’re looking to build your skills in a high-acuity environment while being supported by a collaborative and knowledgeable team, we would love to welcome you to the IMC family! Join our team today! *Higher Pay Scales and Sign-On Incentives *Flexible Schedule to live the life you deserve *Referral Bonus programs *Paid Time Off *Excellent Health Benefits (UMR) *Unlimited Tuition Reimbursement through Guild Education (only an 18 month commitment) SHIFT/SCHEDULE Full Time: Scheduled for 36 Weekly Hours Shift Time: 7:00am-7:30pm This position will have scheduled shifts every other weekend About Us As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Registered Nurse (RN) – Progressive Care (Step down) – St. Joseph Warren Hospital: Summary of Primary Function/General Purpose of Position The Stepdown Registered Nurse (RN) delivers patient care utilizing the nursing process through data collection and assessment, identifying and determining the priority of patient’s problems/needs, and evaluating the process and outcome of nursing care, all in collaboration with the interdisciplinary care team. The RN coordinates, provides, and directs patient teaching activities and coordinates the care provided by health team members. Essential Job Functions Conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implements treatment, and evaluates treatment effectiveness Administers medications in a safe manner consistent with the State of Practice and Bon Secours Mercy Health policies and procedures. Serves as point of contact for patients' care coordination throughout hospital departments. Acts as a patient safety advocate by participating in ongoing quality improvement in the department. Serves as patient advocate in collaboration with spiritual care, palliative care, and ethics. Serves as a point of care with care coordination and family members or caregivers. Clinically manages patients with multi-system organ failure and/or multisystem trauma. Using the AACN Synergy Model, restores, supports, promotes, rehabilitates, or palliates to maintain the physiologic, psychologic, and psychosocial stability of patients across the lifespan. Synthesizes and prioritizes information in order to take immediate and decisive evidence-based, patient-focused action using clinical judgement and clinical inquiry. Anticipates and responds with confidence and adapts to rapidly changing patient conditions. Responds to the unique needs of the patients and families coping with unanticipated illness or injury and treatment and advocate for their choices in quality of life. BSMH nurses are expected to practice and deliver care in accordance with the core concepts and intention of the BSMH Nursing Professional Practice Model. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification Current RN license in state they are working or covered by compact (required) BLS Basic Life Support or ACLS Advanced Cardiac Life Support (preferred at hire, must obtain from approved source prior to direct patient care, ACLS required within 6 months of hire) CCRN Critical Care Registered Nurse (preferred) PCCN Progressive Care Certified Nurse (preferred) National Institute of Health (NIH) Stroke Certification (preferred) Education Bachelor of Science Nursing (preferred) Work Experience 1 year of RN experience (required) 6 months RN experience in an acute care hospital setting (preferred) Training EPIC Electronic Health Record (EHR) training (preferred) Critical Care Course (preferred) Skills Assigns patient care according to the nursing skill, knowledge, and scope of practice of staff. Orients, facilitates learning experience, and provides education (based upon quality improvement indicators, outcomes, and implementation) to nursing staff and others. Possesses clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with the current standards of practice, policy and procedure, and BSMH mission. Performs comprehensive assessment of patient's clinical condition and psychosocial needs of the patient and their supportive resources. Safely and efficiently develops, implements, and prioritizes plan of care. Application of the nursing process in patient care delivery. Assesses patient's physical and emotional responses to treatment to evaluate effectiveness of intervention and patient outcomes; revises plan of care accordingly. Assists patient and family in coping with patient's illness. Collaborates with others in the delivery of coordinated patient care. Strong interpersonal and verbal/written communication skills. Applies cultural diversity and inclusion principles when caring for patients and their support resources. Recognizes own limitations and seeks assistance and acquires information to perform safely. Advances personal and professional growth through participation in educational programs, current literature, in-services, and workshops. Exhibits professionalism through accountability for own and delegated actions. Integrates cost-effective measures into practice and models effective stewardship of available resources. Practices self-care and cultivates resilience in conflict and difficult circumstances. Protects the safety and privacy of all persons. Understanding and utilization of office and clinical technologies. Ability to communicate with patients in a manner they can understand considering their personal preferences. Compassionate, relationship-based approach to help find meaning in illness, suffering, pain, and existence. Remains calm, adaptive, and collective during an emergency. Manages care of patients with chest tubes. Assesses patients through hemodynamic monitoring. Inserts and monitors transvenous pacing/temporary pacing. Administers means for conscious sedation. Knowledge of advanced respiratory modalities. Working Conditions Periods of high stress and fluctuating workloads may occur May be exposed to physical altercations and verbal abuse May be required to use physical restraints May be exposed to high noise levels and bright lights May be exposed to limited hazardous substances or body fluids* May be exposed to human blood and other potentially infectious materials* May have periods of constant interruptions *Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control. Patient Population Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Adults (18-64 years) Geriatrics (65 years and older) Mercy Health is an equal opportunity employer. As a Mercy Health associate, you’re part of a Misson that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Progressive Care Unit (PCU) - St. Joseph - Intermediate Care Unit 1 It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, a ll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com .
RN Outpatient Pediatric Outpatient Full-time
One Brooklyn Health

Registered Nurse - Ambulatory BFCC / Pediatric Specialty Clinics

One Brooklyn Health New York, NY
Overview Assumes responsibility and accountability for patient screenings; triage; pain management; falls prevention, nutritional and psychosocial, discharge planning and other interventions to restore, maintain or promote patients’ physical health. Utilizes the nursing process in the provision of direct patient care. Assists all patients, families/significant others through the healthcare system by acting as a patient advocate and navigator. Responsible and accountable for prescribing, delegating, and coordinating all care provided to assigned patients. Executes medical plan of care, at the direction of the treating clinician, in accordance with licensure of a Registered Professional Nurse. Utilizes nursing diagnoses to treat human responses to actual and potential health problems through such services as case finding, health teaching, health counseling, and provision of care supportive or to restorative of life and well-being. Supervises patient care provided by Licensed Practical Nurses (LPN), Medical Office Assistants (MOAs), Nursing Attendants (NAs), technicians, and supplemental staff. Supports patients’ self-management of disease and behavior modification interventions. Coordinates continuity of patient care with external healthcare organizations and facilities, including the process from admission to discharge and referrals from the primary care provider to the specialty care provider. Promotes clear communication amongst a care team and treating clinicians by ensuring awareness regarding a patient’s plan of care. Participates on a team for data collection, health outcomes reporting, clinical audits, and programmatic evaluation related to Patient-Centered Medical Home and ambulatory care initiatives. Assists in the prior authorization process for clinical and pharmacy related orders. Demonstrates the ability to function as part of an interdisciplinary health care team. Responsibilities Assesses the immediate and continuing care needs of the patient/families/significant other. Develops comprehensive and current plans of care which include physical needs, patient teaching, discharge planning and psychosocial/spiritual needs. Provides direct patient care based on assessed needs and the medical regimen. Oversees and ensures the provision of all aspects of care for the patient. Supervises the care provided by other nursing personnel including Licensed Practical Nurses (LPN), Medical Office Assistants (MOAs) and Nursing Attendants (NAs), as defined in the scope of practice. Participates in Quality Improvement activities related to patient care delivery and the development of nursing/hospital/ambulatory care standards. Recalls patients for abnormal results and/or follow-ups as requested by Provider. Documents all attempts via telephone and correspondence. Establishes priorities for care in collaboration with the multidisciplinary team and initiates follow-up, as indicated, to ensure timely provision of patient care and therapeutic modalities. Observes, evaluates, documents, and communicates to relevant team members the patient's response to illness and/or therapeutic modalities as related to diagnosis. Ensures timely reassessment of patient responses to treatment and when significant changes occur in patient condition and/or diagnosis. Participates in Patient Centered Medical Home Model including conducting daily briefings and huddles, as required. Provides Patient and Family education, as needed. Daily, weekly and monthly checks of all logs including refrigerators, medications, testing equipment as per established protocols. Coordinates the overall plan of care to ensure implementation of nursing interventions and consistency with medical regimen. Assures the plan of care integrates age-specific care needs (e.g. pediatrics, geriatrics) as defined in the unit scope of care. Accepts responsibility and accountability for nursing interventions and outcomes based on professional clinical judgments. Demonstrated ability to communicate effectively, manage stressful situations appropriately and facilitate interpersonal relationships with other disciplines. Ensures that patients receive timely and appropriate care within the delivery system and assists with facilitating internal and external referrals. Communicates with pharmacies as well as insurance companies related to patient treatment plans and approvals of medications and/or procedures/Diagnostic Imaging. Collaborates with medical providers in identifying patient’s educational needs and provides resources to meet these needs. Performs vital signs: T-P-R, O2 Sat, as required and weight, height and blood pressure, as needed. Performs diagnostic testing: EKG, point of care testing, as needed. Administration of medications and immunizations at the direction of the physician. Orders all vaccines, including Vaccines for Children Program and documenting pediatric immunizations in City wide Immunization Registry. Collects various screening information including: Falls, Nutritional, Psychosocial and Pain Assessments, as required and documents findings. Assumes role of patient advocate and conforms to policies and regulations governing patient rights, confidentiality and the HIPAA Privacy & Security Rules. Participates in Performance Improvement/Quality Assurance activities and demonstrates initiative in identifying and communicating performance improvement/quality assurance problems and issues. Participates in appropriate professional and community organization activities. Obtaining prior authorizations for (this list is not all inclusive): MRI, CAT Scans, EMG, Video Ambulatory and Ambulatory EEGs, medications, diagnostic testing and procedures, as applicable to insurance carriers. Includes review of Provider documentation to ensure tests/procedures are included for insurance purposes. Ensure lab testing has been ordered as per specialty clinic guidelines, i.e., every visit or every quarter including Genetic testing, Specialized Hematology, Renal and Gastroenterology services Schedule external appointments for (this list is not all inclusive): Early Intervention; PT/OT; Neurosurgery; Pediatric services: Orthopedics, Eye, Genetics and Psychiatry, as applicable. Establish routine communication with foster care agencies/Nursing staff; ACS; School Nursing, Psychiatry and Social Work staff, internal and external resources. Completion of school, foster care agency and early intervention forms are completed in a timely manner. All other duties as assigned. Qualifications Education / Experience: Internal & 1199 SEIU: Graduate of accredited nursing program(s). Bachelor's Degree in Nursing preferred. Minimum three (3) years’ experience in outpatient clinics with adult population and one (1) year with pediatric populations. Phlebotomy experience preferred. Non 1199 SEIU Candidates: Bachelor’s Degree in Nursing (BSN) required. Master's Degree in Nursing, preferred. Minimum three (3) years’ experience in outpatient clinics with adult population and one (1) year with pediatric populations. Will Accept Associate’s Degree with minimum five (5) years of clinical experience in outpatient clinics. Phlebotomy experience preferred. New Graduates: Bachelor’s Degree in Nursing (BSN) required. All required certifications within six (6) months of hire. Phlebotomy experience preferred. Knowledge and Skills: Demonstrates a commitment to continuing professional growth and development. Critical thinking, math, and computer skills – Excel & Word. Works as a team player. Demonstrates respect and professionalism in all interactions. Excellent oral and communication skills. Decision making and problem solving. Able to see, hear, read and write English. Ability to fully utilize BHMC’s electronic record systems, equipment and healthcare and billing systems relevant to this position. Licenses, Certifications: Current NY State RN License required. Basic Life Support (BLS) from the American Heart Association, required. Advanced Cardiovascular Life Support (ACLS) from the American Heart Association, required. Pediatric Advanced Life Support (PALS) from the American Heart Association, required. Certified Pediatric Nurse (CPN) preferred. Medical Surgical Certification required. Physical Requirements: Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day. Position will be required to stoop, bend, lift, and 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 work flex 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.
CNM OB/GYN Outpatient Part-time
Mount Sinai Health System

Midwife - Nurse Midwifery - Mount Sinai OB/GYN Ambulatory Practice - Per Diem Days

Mount Sinai Health System New York, NY
$96.42 / year
Description The per diem Midwife is responsible for the primary care and management of patient's health, including obstetric and gynecological care. Both low risk and high-risk pregnancies are managed as outlined within practice guidelines. Develops and supports excellence in the clinical practice and patient care. Maintains the Maternal Child Health Services mission, philosophy, and policies as well as the standards and practices of the Medical Center. Responsibilities 1. The midwife performs functions as an integrated member of the Department of OB/GYN and Nursing. The midwife will: Coordinate prenatal care to the caseload of patients in the ambulatory care setting. 2. Take pertinent history. Perform physical & pelvic examination. Obtain laboratory and diagnostic tests. Provide counseling & teaching as needed. 3. Identify risk factors and develop appropriate plan of management. Manage the care of selected patients admitted to the inpatient unit-based on unit protocols and with the collaboration of the attending physician. 4. Obtain physician consultation for plan of management for any medical or obstetrical complications not addressed in departmental protocols. Performs functions as identified in the Midwife Scope of Practice. 5. Provide Intra-partum Care as follows: Evaluate the status of labor and admits patient to the labor floor. Perform admission physical examination. 6. Perform venipuncture and starts intravenous infusions if nursing staff is unavailable. Obtain laboratory and diagnostic tests & evaluates results. Evaluate the progress of labor by vaginal examination. Make decisions regarding ambulation of the patient during labor. Request conduction anesthesia. 7. Perform amniotomy as indicated. Apply external fetal monitor & tocodynamometer. Apply internal fetal scalp electrode & pressure catheter. Evaluate fetal monitor tracing & consults with physician if abnormalities are present. Make decisions regarding the position(s) of the patient during second stage of labor. Make decisions regarding performance of delivery in the birthing room or transfer to the delivery room. 8. Utilize local infiltration or pudendal block. Perform & repairs episiotomies. Conduct spontaneous deliveries of cephalic presentations. Obtain specimen of cord blood for cord gases when appropriate. Manage the third stage of labor. Perform cervical & vaginal inspection. Repair minor vaginal & perineal lacerations. Take responsibility for the management of the uncomplicated patient in recovery room. 9. Decide when the normal infant should be transferred to the nursery. Request attendance of pediatrician at delivery when neonatal problems are anticipated. Order intermittent fetal monitoring based on patients risk status. Perform immediate appraisal of the newborn. Perform newborn physical examination. Sign birth certificate of delivery (operative delivery requires physician signature). Coordinate patient care in triage room on L&D. Attend and participate in L&D board rounds. 10. Participate in the care of patients during labor & delivery in consultation with attending physician: Perform prostaglandin insertions for cervical ripening. Manage Oct(s) after evaluation of the patient by the physician. Insert intrauterine pressure catheters. Perform & monitor amnio infusion. Monitor patient on IV oxytocin & regulates oxytocin infusion for induction or stimulation of labor following the initial stabilization & monitoring of the patient by the physician. Conduct spontaneous deliveries of these patients under supervision of the attending. 11. Manage the labor & conduct the deliveries of patients who have been approved by the physician for vaginal birth after cesarean section (VBAC). Repair cervical or extended vaginal lacerations under the supervision of the attending. Repair third & fourth degree extensions under the direct supervision of the attending. Participate as first assist on C-sections and/or BTL. Insert Foley catheter bulb for induction of labor. Perform misoprostol (Cytotec) insertions for labor induction. Order appropriate drugs to treat hemorrhage during third stage of labor per department policy for Post-Partum Hemorrhage. Manually remove placenta. Perform exploration of uterus. Perform selected patient high risk delivery at discretion and under the supervision of the physician. 12. Provide postpartum care as follows: Make daily rounds, examine patients, orders & interpret laboratory results, diagnostic tests & monitor the postpartum course. Provide postpartum teaching & counseling. Prepare patients for postpartum bilateral tubal ligations. Manage patients who have had cesarean sections or postpartum bilateral tubal ligations based on unit protocols & under the supervision of the attending physician. 1) Write medication & non-medication orders 2) Remove surgical sutures & staples Perform fever work-ups for patients with postpartum febrile morbidity, as per unit protocols & consults the physician for management assistance. Make appropriate discharge plans. Obtain physician consultation for plan of management for any medical or obstetrical complication. Obtain informed consent for circumcision of male infant. Education Requirements See Attached for Additional Detail Masters degree in nursing preferred. Qualifications Education Requirements See Attached for Additional Detail _____ Masters degree in nursing preferred. Experience Requirements Evidence of completion of a Pharmacology course, passing the examination & receiving authorization to issue prescriptions pursuant to Section 6951 (2) of the NYS Education Law. Demonstrate clinical experience related to obstetrics and the care of women & children. Licensing and Certification Requirements (if applicable) License: CNM Issuing Agency: DOH/Office of Professions Name: Basic Life Saver (BCLS) Issuing Agency: AHA Certification: NRP (Labor and Delivery, NICU dept) Certification: ACLS (in ED; PACU/ASU; ICUs; Telemetry Units; SDU; IR, Interventional Cardiology (CCL/EP/Echo); L&D; Endoscopy, and APN Adult Oncology Collective bargaining unit: NYSNA-MSH Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $96.4176 - $96.4176 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
RN Part-time
SSM Health

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

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

Registered Nurse ( RN ) - Emergency Department ( ED ) - Bronson Lakeview Hospital - Part-time 8 Mids ( e/o weekend)

MountainStar Healthcare Paw Paw, MI
CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BLH Bronson LakeView Hospital Title Registered Nurse ( RN ) - Emergency Department ( ED ) - Bronson Lakeview Hospital - Part-time 8 Mids ( e/o weekend) Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. Associate's degree in Nursing required Bachelor's degree in Nursing preferred, must obtain within 8 years of hire Licensed Registered Nurse in good standing for the state of Michigan As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated. BLS certification required by completion of core orientation Critical care or ALS as well as other certifications may be required for some RNs, unit specific Bronson LakeView Specific - Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date. Bronson LakeView Specific : Emergency Department: SALT triage, ESI Triage, and NIH Stroke Scale to be completed within 90 days of hire date. Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course (TNCC only required for FT and part -time nurses) within 6 months of hire date. Special Care Unit: All nurses in department will need to have Pediatric Advance Life Support certification within 6 months of hire. Current driver's license in the state of Michigan and proof of insurance required for BAH • Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action • Must be able to constantly communicate both verbally, in writing and electronically Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects. Standards of Practice: • The registered nurse collects comprehensive data pertinent to the patients’ health or the situation. o Assesses the patient’s physical and developmental needs o Analyzes assessment data to identify appropriate patient needs o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients o Reviews vital signs to assess condition of patient and detect deviations from normal. • The registered nurse analyzes the assessment data to determine patient problems or issues o Uses the assessment data to identify patient problems o Confirms problems with patient and family when appropriate o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record • The registered nurse identified expected outcomes for a plan individualized to the patient o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations. o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available. • The registered nurse develops a plan that prescribes interventions to attain expected outcomes. o Incorporates clinical pathways into the plan when appropriate o Develops individualized interventions with patient input when appropriate o Considers data from other members of the healthcare team when developing the plan of care • The registered nurse implements the identified plan. o Implements appropriate interventions. o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices. o Utilizes evidence-based interventions specific to the patients plan o Maintains awareness of comfort and safety needs of the patient. o Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan. o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others. • The registered nurse evaluates progress toward attainment of the expected outcomes o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes. o Documents the patient response toward the expected outcomes. Standards of Professional Performance: • The registered nurse systematically evaluates the quality and effectiveness of nursing practice. o Participates in quality improvement activities o Uses the results of quality improvement activities to initiate changes in nursing practice. • The registered nurse attains knowledge and competency that reflects current nursing practice. o Participates in ongoing educational activities related to appropriate knowledge and professional issues. o Maintains professional records that provide evidence of competency and continued ongoing educational activities. • The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. o Provides age appropriate care in a culturally and ethnically sensitive manner. o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development. o Participates in systematic peer review as appropriate. • The registered nurse interacts with and contributes to the professional development of peers and colleagues. o Shares knowledge and skills with peers and colleagues o Maintains compassionate and caring relationships with peers and colleagues o Contributes to a supportive and healthy work environment. • The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care. • The registered nurse integrates ethical provisions in all areas of practice. o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights. o Demonstrates a commitment to connecting with self and others through relationship centered care giving. o Serves as a patient advocate • The registered nurse integrates research finding into practice. o Uses research to improve the health of patients and the practice environment. o Participates in the various levels of research based on their level of education. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care. • The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care. • The registered nurse provides leadership in the professional practice setting and the profession. o Participated in nursing councils, hospital and unit based committees as appropriate. o Attends at least 50% of unit staff meetings o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally) • Responsibilities related to the Scrub RN o Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies. o Applies knowledge of operative procedure and physician preferences by anticipating physicians' needs. o Observant of overt changes in patient's condition that indicates a problem has emerged. o Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure. o Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians. o Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions. o Acts as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed. o Assigned and responsible for after-hour call on a rotational basis. o Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services. For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours For Bronson Lakeview Hospital and Bronson South Haven Hospital: The RN is responsible for completing the Workday CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The RN will understand the documentation differences and the specific care required for each individual swing bed patient. Bronson South Haven Hospital and Bronson Lakeview Hospital employees who are approved to work in a Swing Bed Facility only: Employees may be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs. Shift Second Shift Time Type Part time Scheduled Weekly Hours 24 Cost Center 4300 Trauma Emergency Center (BLH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!
NP Outpatient Full-time
UCSF Health

Nurse Practitioner 2

UCSF Health San Francisco, CA
Job Description Under the supervision of the UCSF Department of Surgery & Department of Medicine and guided by the policies and procedures, rules and regulations, and bylaws of the UCSF Medical Center, some Nursing Policies, and, Medical Staff Policies, and any unique to inpatient or ambulatory patient services (for those APPs providing services both in the inpatient and ambulatory environments) this Nurse Practitioner (NP) position is assigned to the Berkeley Cancer Outpatient Practice and Infusion Center. This APP position may perform delegated functions as appropriate to their “scope of practice”. In general, the “scope of practice” includes the management of chronic stable medical conditions, specialty protocols (e.g. chemotherapy), routine care, acute or critical care, and medical and surgical procedures. This position will provide outpatient care in approved age groups at UCSF Health settings. The APP has responsibility for the quality of standards of care for a specified patient population and evidences self-direction and accountability in the development of this role within the all UCSF medical center locations. UCSF Health requires all Advanced Practice Providers (APP) to be credentialed through its Medical Staff Services Office (MSSO) in order to practice and function in their clinical role. This applies to both adult and pediatric APPs in the inpatient and outpatient clinical settings at all UCSF Health sites (Parnassus, Mt. Zion, Satellite Clinics, et al). Credentialing and approval of the Standardized Procedures takes between 30-60 days and must be completed prior to the first working day. Responsibilities Function % of time Duties Inpatient - Direct Patient Care (may include some or all of the responsibilities listed) ## Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients. Includes taking histories, performing physical examinations, responding to changes in patient status, performing consults, ordering or furnishing medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations . Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 . APPs must respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within 3 days. 1.2. Performs procedures granted to them via privileges/standardized procedures. 1.3. Identifies patients with acute decompensation or failure and responds to the hospital plan of care and reviews with physician. 1.4. Initiates consultations as indicated. 1.5. Documents independent assessment findings and recommends appropriate treatments. 1.6. Participates in service rounds and patient evaluation and treatment planning. 1.7. Reviews lab tests, x-rays, and other diagnostic tests, and initiates appropriate team plans. 1.8. Evaluates complex cases, establishes individualized plans of care for disposition to a lower level of care. 1.9. Interprets and acts upon completed tests, procedures, and radiographic studies. 1.10. Completes clinically relevant paperwork/electronic health record (EHR) documentation, including but not limited to ordering medications, completing episodic care notes and discharge summaries in accordance with the UCSF Rules and Regulations . 1.11. Effectively communicates findings, treatment options, and care plans with patients and their families 1.12. May first assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring. 1.13. Monitors and evaluates patients for discharge. Sets parameters and guidelines for continuum of care with multi-disciplinary team. This includes evaluating and defining discharge regimen. 1.14. Discharges patients including prescribing/furnishing medications, ordering DME, and recommending or referring for ongoing follow up care, providing discharge teaching, and completing discharge summaries. Inpatient – Care Coordination (may include some or all of the responsibilities listed) ## 1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning. 1.2. Coordinates episodic care and determines timing of routine clinic follow up. 1.3. Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention. 1.4. Consults with nursing staff on plan and implementation of individualized nursing care plans. 1.5. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies. 1.6. Formulates and implements protocols to improve quality and efficiency and control waste in the clinical specialty. Outpatient – Independent Encounters (may include some or all of the responsibilities listed) 65% Evaluates and manages patients in independent APP encounters, including telehealth. Includes providing care to new, follow-up, acute, routine, and specialty patients. Includes taking histories, performing physical examinations, interpreting diagnostic tests, formulating evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Reviews or collaborates with attending physician as needed. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations . Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 . 1.2. Performs procedures individually granted to them via standardized procedures/privileges. 1.3. Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate. 1.4. Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations. 1.5. Interprets and acts upon the ordered tests, procedures, and radiographic studies in a timely fashion. 1.6. Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters. Outpatient – Shared Encounters with Physician(s) (may include some or all of the responsibilities listed) ## Evaluates and manages patients in shared encounters with attending physician, including telehealth. This should increase clinic access with a goal of doubling clinic volume since two providers will be sharing the clinic responsibilities. Includes providing care to new, follow-up, acute, routine, and specialty patients. Includes taking histories, performing physical examinations, interpreting diagnostic tests, collaborating on evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 . May first-assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring. 1.3. Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate. 1.4. Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations. 1.5. Interprets and acts upon the ordered tests, procedures, and radiographic studies in a timely fashion. 1.6. Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters. Outpatient – Care Coordination (may include some or all of the responsibilities listed) 35% 1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning. DOES not include management of inpatients. 1.2. Coordinates episodic care and determines timing of routine clinic follow up. 1.3. Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention. 1.4. Attends department quality improvement meetings and participates in patient evaluation and planning. 1.5. Consults with nursing staff on plan and implementation of individualized nursing care plans. 1.6. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies. Total 100 Qualifications Required Qualifications: Two (2) to Three (3) years of recent inpatient oncology or infusion center experience as a Nurse Practitioner Demonstrated minimum 1 year of clinical experience in managing patients receiving immunotherapy and biotherapy in an outpatient infusion center. Preferred Qualifications One (1) year experience in Cancer urgent care or adult critical care medicine as (Nurse or NP) Specialty Certifications; OCN or AOCNP ECG and imagining; (X-ray, CT and MRI) interpretation License/Certifications California Registered Nurse (RN) License without restriction California Nurse Practitioner (NP) License without restriction California Nurse Practitioner Furnishing Number NP national board certification from an accepted certifying agency aligned with the patient population and clinical role Adult Outpatient (A-GNP-C, ANP-C, FNP-C, GNP-C, AGPCNP-BC, ANP-BC, FNP-BC, GNP-BC, ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC). See Addendum A below for more detail. California Driver License (if required for position) Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address American Heart Association (AHA) Basic Life Support (BLS) certification Additional required AHA certifications: ACLS Additional required certifications (such as ENLS): None About UCSF ABOUT US The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values . In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here . Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is 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, disability, age, protected veteran status, or other protected status under state or federal law. Salary Information The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
NP ER Full-time
Vanderbilt University Medical Center

Emergency Medicine Advanced Practice Provider-Vanderbilt Clarksville Hospital

Vanderbilt University Medical Center Nashville, TN
Discover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: Emergency Medicine Community Job Summary: The Advanced Practice Provider (APP) is a key member of the multidisciplinary healthcare team, collaborating closely with physicians and other care providers to manage a distinct patient population in the inpatient acute care setting. Working with hospitalized patients, the APP provides specialized care and supports the delivery of high-quality, evidence-based medical services. This role requires a strong foundation in evidence-based practice and clinical education, with the APP responsible for adhering to established clinical pathways and protocols to ensure safe and effective patient care. The APP will demonstrate advanced medical knowledge, clinical and technical competence, sound clinical judgment, and professional communication skills. In addition, the APP is accountable for timely and compliant documentation and actively participates in professional development and competency validation to maintain high standards of care. . Preferred Qualifications: Nurse Practitioner - FNP (ENP preferred) + emergency medicine provider experience Physician Assistant - at least 1 year of emergency medicine provider experience Will consider provider experience outside of emergency medicine - ICU, CV Department Summary: For more than 70 years, Vanderbilt Clarksville Hospital has been taking care of patients and families in Clarksville and the surrounding area. A part of the Vanderbilt Health community of hospitals and clinics, Vanderbilt Clarksville Hospital has been the hometown hospital, helping the community access a broad range of medical care and services. High-quality emergency care When you need us most, we're ready. Count on Vanderbilt Clarksville Hospital to deliver high-quality emergency care when and where you need it most. Our experienced emergency physicians and nurses are ready around the clock to provide immediate treatment for a wide range of acute illnesses, injuries and conditions. Commitment to community We are pleased to have made a significant impact on Montgomery County, through patients served, trainings offered, charity, salaries, investments and uncompensated care. With more than 1,000 employees, we are one of the community’s largest employers. Through its eight hospitals and more than 180 clinics, Vanderbilt Health contributes nearly $1 billion in total community benefit and investment KEY RESPONSIBILITIES Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care. In collaboration, provides healthcare services for primary, acute and complex care of patients and manages patients’ overall care, identifying expected outcomes for diagnoses. Orders, performs, interprets and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. Forms differential diagnoses and treats acute and chronic conditions. Prescribes therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes. Utilizes evidence-based, approved practice protocols in planning and implementing care. Initiates appropriate referrals and consultations Provides specialty specific consultation services upon request and within a specialty scope of practice. Facilitates the patient’s transition between and within health care settings, such as admitting, transferring, and discharging patients. The responsibilities listed are a general overview of the position and additional duties may be assigned. TECHNICAL CAPABILITIES Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice. Patient and Family Centered Care (Advanced): Demonstrates care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life. Within scope of licensure and certification, manages previously diagnosed and undiagnosed patients. Uses health assessment skills to differentiate between normal, variations of normal, and abnormal findings. Employes screening and diagnostic strategies in the development of diagnoses. Prescribes medications within scope of practice. Manages health/illness status of patients and families over time and across the continuum. Provides patient/centered care recognizing the patient or designee as a full partner in decision making. Creates a climate of patient/centered care to include confidentiality privacy, comfort emotional support, mutual trust, and respect. Incorporates cultural and spiritual preferences, values and beliefs into health care. Preserves the patient’s control over decision making by negotiating a mutually acceptable plan of care. Integrates ethical principles into decision making. Uses electronic health record to capture data on variables for the evaluation and management of patient care. Clearly documents findings, assessment and plan of care. Clinical Knowledge and Practice (Advanced): Demonstrates established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others. Demonstrates knowledge of population focus but also other sciences that support his/her field of practice. Demonstrates knowledge of common and important health issues affecting society and other societies around the globe. Demonstrates commitment in maintaining current evidence-based knowledge through continuous learning. Educates patients, families, students and other members of the healthcare team in clinical topics and application of clinical knowledge. Practice-Based Scholarly Inquiry and Integration (Advanced): Demonstrates the use of scientific evidence and methods to investigate, evaluate and improve patient care practices. Anticipates variations in practice and is proactive in implementing interventions to improve quality. Uses best available evidence to continuously improve quality of clinical practice. Generates knowledge from clinical practice to improve practice and patient outcomes. Reviews data and evidence to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science. Interpersonal and Communication Skills (Advanced): Demonstrates interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams. Communicates practice knowledge effectively both orally and in writing. Professionalism (Advanced): Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice. Our Nursing Philosophy: We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being. As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered: Affordable High Quality Health Plan Options Dental and /or vision plan 403 (b) retirement plan Paid Time off (flex PTO) Tuition Reimbursement and adoption assistance (maximums applied) Short-Long term disability Subsidized backup childcare And many more... Ask us about our current inpatient nursing supplemental Pay Program! Achieve the Remarkable: Learn more about VUMC Nursing here . Core Accountabilities: Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members. Core Capabilities : Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: LIC-Licensed Nurse Practitioner - Tennessee, LIC-Physician's Assistant Certified - Tennessee, LIC-Registered Nurse - Tennessee Work Experience: Relevant Work Experience Experience Level: Less than 1 year Education: Master's This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.