At Houston Methodist, the Registered Nurse (RN) II position is a licensed staff nurse, an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. The RN II position provides professional nursing care to a diverse patient population, conducts nursing assessments, assists with exams and treatment, patient education, and maintenance of medical records. The RN II position provides direct patient care effectively and efficiently which may include patients with varied and complex needs. This position communicates and collaborates with the physicians and interprofessional health care team to facilitate, coordinate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The RN II position demonstrates clinical competence when providing care, using technology, administering medications, performing procedures and managing emergencies, acting as a patient and family advocate in order to monitor and maintain patient rights. This position assumes leadership roles with progressive responsibility including but not limited to participating in or leading unit and shared governance initiatives, serving as charge nurse or preceptor to students or new employees, and possibly contributing to service line or hospital-wide initiatives in partnership with management.

FLSA STATUS

Non-exempt

QUALIFICATIONS

EDUCATION

• Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section

EXPERIENCE

• Twelve months registered nurse experience in a healthcare environment

LICENSES AND CERTIFICATIONS

Required

• RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency) and
• BLS - Basic Life Support or Instructor (AHA) - American Heart Association and
• ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association and
• PALS - Pediatric Advanced Life Support or Instructor (AHA) - American Heart Association within 4 months and
• NIHSTROKE - National Institute of Health Stroke Scale Certification (AHA) - American Heart Association within 4 months and
• NVCRISIS - Nonviolent Crisis Intervention or Instructor (CPI) - Crisis Prevention Institute within 4 months

Preferred

• Magnet - ANCC Recognized Certification or
• ENPC - Emergency Nursing Pediatric Certification (ENA) or
• TNCC - Trauma Nursing Core Course or Instructor (ENA)

KNOWLEDGE AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations as defined in orientation checklist and annual departmental competency checklist
• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
• Strong assessment, organizational and problem solving skills as evidenced by capacity to prioritize multiple tasks and role components
• Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families
• Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act
• Demonstrates proficient time management skills
• Maintains level of professional contributions as defined in Clinical Career Path program guide
• Working knowledge of Microsoft products including Outlook

ESSENTIAL FUNCTIONS

PEOPLE ESSENTIAL FUNCTIONS

• Uses therapeutic communication, which includes active listening and teaching, to establish a relationship with patients, families and interprofessional health care team to collaborate on the plan of care.
• Contributes to teamwork by awareness of overall unit acuity, consistently offering assistance, and responding positively to requests for assistance. Collaborates to foster healthy relationships in the work environment. Seeks guidance from and offers guidance to interprofessional health care team, when appropriate, and applies feedback to improve patient outcomes.
• Implements staff education specific to patient populations and unit processes; coaches and mentors other staff and students. May include preceptorship. Uses peer-to-peer accountability towards improvement of department score for turnover/retention/employee engagement on unit-based scorecard.

SERVICE ESSENTIAL FUNCTIONS

• Follows the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Conducts nursing assessments, assists with exams and treatment, and maintenance of medical records. Practices in a manner that is congruent with cultural diversity and inclusion principles.
• Develops, updates and communicates plan of care, including discharge, in partnership with the patient, family and interprofessional health care team, using the nursing process. Prioritizes care based on the patient’s needs, abilities and preferences. Advocates on patient/family’s behalf to identify and resolve clinical and ethical concerns, utilizing appropriate resources.
• Provides patient teaching based on learning needs, uses appropriate resources, incorporating planning for care after discharge. Consistently evaluates the patient’s comprehension and adapts teaching methods accordingly.
• Helps drive improvement of department score for patient satisfaction on unit-based scorecard, through peer-to-peer accountability to service standards.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Follows the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document.
• Follows the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document. Identifies areas of practice improvements with research-based evidence to achieve core measure and patient safety outcomes, supported by accurate documentation.
• Provides and modifies care to complex patients and coordinates care with the interprofessional team based on evaluation of the patient’s condition, supported by accurate documentation. Utilizes clinical judgement, using an evidence-based analytical approach.
• Improves quality and safety scores on the unit-based scorecard, through peer-to-peer accountability, reporting near misses, and collaborating with the interprofessional health care team.

FINANCE ESSENTIAL FUNCTIONS

• Displays self-motivation to independently manage time effectively, timely document care, minimize incidental overtime, and prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs.
• Contributes towards meeting department financial targets on unit-based scorecard through decreasing length of stay, optimizing efficiency and other areas according to department specifications.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Identifies and presents areas for innovation, efficiency and improvement in patient care or unit operations using evidence-based practice literature. Offers innovative solutions through evidence-based practice/performance improvement projects and shared governance activities.
• Champions new care pathways or service line implementation to improve service to the community. Identifies trends for improvement opportunities or practice changes and supports initiatives. Researches the change and presents options to shared governance and leadership.

SUPPLEMENTAL REQUIREMENTS




Work Shift:

3 - Night (United States of America)



Job Category:

Clinical

Houston Methodist The Woodlands Hospital opened in June 2017. This 725,000-square-foot, full-service, acute-care hospital offers many of the same services as our flagship hospital in the Texas Medical Center. Also, on the beautiful hospital campus, located at the intersection of Interstate 45 and Texas State Highway 242, are two medical office buildings, which include a Breast Care Center; Cancer Center; infusion center; heart and vascular services; neurology; orthopedics and sports medicine; rehabilitation services; wellness services; an outpatient laboratory; and several other multispecialty physician practices. In January 2022, Houston Methodist The Woodlands opened Healing Tower — a $250 million expansion project that added 106 beds, focused on medical-surgical and women’s services, and provided nine operating rooms. The project also included the expansion of the endoscopy center, emergency department and diagnostic imaging department with an enhanced neurodiagnostic and interventional center.


Houston Methodist is an Equal Opportunity Employer.

Houston Methodist Willowbrook Hospital

At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively assessing clinical condition and planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) and/or service lines. This position works with the physicians and multidisciplinary healthcare team to facilitate clinical care coordination and maintain compassionate, efficient, quality and safe patient care and achievement of desired treatment outcomes. The CM position holds joint accountability with the social worker for discharge planning, coordination of care, and throughput, assuring that admission and continued stay are medically necessary. This position communicates clinical information to payors and post-acute care providers to ensure safe transition and continuity of care.



FLSA STATUS
Exempt

QUALIFICATIONS

EDUCATION

• Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section.
• Bachelor’s degree preferred

EXPERIENCE

• Three years hospital nursing clinical experience
• Acute care case management experience preferred

LICENSES AND CERTIFICATIONS
Required

• RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)

KNOWLEDGE AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
• Knowledge of Medicare, Medicaid and Managed Care requirements
• Progressive knowledge of community resources, healthcare financial and payor requirements/issues, and eligibility for state, local and federal programs
• Progressive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement
• Understanding of pre-acute and post-acute venues of care and post-acute community resources
• Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families
• Well versed in computer skills of the entire Microsoft Office Suite (Excel, Outlook, PowerPoint and Word)
• Strong assessment, organizational and problem-solving skills

ESSENTIAL FUNCTIONS

PEOPLE ESSENTIAL FUNCTIONS

• Communicates in an active, positive and effective manner to all healthcare team members and reports pertinent clinical patient care and family data in a comprehensive and unbiased manner; listens and responds to the ideas of others. Supports patients and families in preventing/resolving clinical or ethical issues.
• Collaborates with staff from the multidisciplinary care team concerning the discharge plan to improve outcomes and the safe transition of care. Uses a structured format for regular communication with patients and families.
• Communicates effectively with physicians, multidisciplinary care team, patients, and families to ensure safe and timely transitions of care.
• Contributes towards improvement of employee engagement as reflected by department scores, i.e., peer-to-peer accountability.

SERVICE ESSENTIAL FUNCTIONS

• Assesses all patients timely, per policy, and thoroughly. Reviews chart for medical necessity and facilitation of throughput and appropriate utilization of inpatient resources and services, etc. Initiates and facilitates referrals and transfers for home health care, hospice, durable medical equipment, and other post-acute services.
• Participates and is prepared to present barriers to efficient patient throughput in daily multi-disciplinary rounds (MDRs). Escalates appropriate discharge barriers to leadership and/or physician advisor.
• Facilitates discharge planning activities for assigned patients and collaborates with other members of the multidisciplinary care team, as well as patient and family, on clinically complex care transitions and discharges. Maintains ownership of the discharge planning process on assigned units.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Modifies care based on continuous evaluation of the patient’s medical condition and progression. Demonstrates clinical problem-solving and critical thinking within the scope of practice and makes decisions using an evidence-based analytical approach. Documents accurate assessment and interventions efficiently and effectively.
• Educates patient and family appropriately on disease process that impacts their health and readmission. Connects patient and family with resources related to their disease process.
• Proactively plans for routine discharge, elevates emergent situations, and escalates unresolved barriers. Manages usual patient assignment and other unit demands, anticipating/planning for potential problems.
• Focuses on discharge domain by contributing to department and hospital targets for quality, patient satisfaction and safety measures.

FINANCE ESSENTIAL FUNCTIONS

• Focuses on reducing length of stay for all levels of care, (inpatient, observation and outpatient in a bed) and avoidable days by ensuring efficient and timely use of resources in discharge planning and transitions. Reviews medical records for medical necessity for continued stay, facilitate timely discharge to reduce discharge delays.
• Applies knowledge of payor requirements and coverage to facilitate cost-effective discharges. Contributes to meeting department and hospital financial targets. Utilizes resources with cost effectiveness and value creation in mind. Self-motivated to independently manage time effectively and prioritize daily tasks, assisting coworkers as needed.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Identifies areas for process improvement based on understanding of evidence-based practice literature. Participates in evidence-based practice/performance improvement projects based on these observations and offers solutions.
• Seeks opportunities to identify self-development needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an ongoing basis.

SUPPLEMENTAL REQUIREMENTS

• WORK ATTIRE
  • Uniform: No
  • Scrubs: No
  • Business professional: Yes
  • Other (department approved): No
  
  ON-CALL*
  *Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
  • On Call* Yes
  
  TRAVEL**
  **Travel specifications may vary by department**
  • May require travel within the Houston Metropolitan area Yes
  • May require travel outside Houston Metropolitan area No




Work Shift:

1 - Day (United States of America)



Job Category:

Clinical

Houston Methodist Willowbrook Hospital is a Magnet-recognized, not-for-profit, faith-based hospital that serves the growing Northwest Houston community. We are committed to providing quality, cost-effective health care in a compassionate environment for a full range of services, including emergency care, cardiology, orthopedics and sports medicine, comprehensive women’s services, neurology and neurosurgery, oncology, and primary and general medicine.


Houston Methodist is an Equal Opportunity Employer.

Houston Methodist Willowbrook Hospital - Day Shift

At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively assessing clinical condition and planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) and/or service lines. This position works with the physicians and multidisciplinary healthcare team to facilitate clinical care coordination and maintain compassionate, efficient, quality and safe patient care and achievement of desired treatment outcomes. The CM position holds joint accountability with the social worker for discharge planning, coordination of care, and throughput, assuring that admission and continued stay are medically necessary. This position communicates clinical information to payors and post-acute care providers to ensure safe transition and continuity of care.

FLSA STATUS
Exempt

QUALIFICATIONS

EDUCATION

• Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section.
• Bachelor’s degree preferred

EXPERIENCE

• Three years hospital nursing clinical experience
• Acute care case management experience preferred

LICENSES AND CERTIFICATIONS
Required

• RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)

KNOWLEDGE AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
• Knowledge of Medicare, Medicaid and Managed Care requirements
• Progressive knowledge of community resources, healthcare financial and payor requirements/issues, and eligibility for state, local and federal programs
• Progressive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement
• Understanding of pre-acute and post-acute venues of care and post-acute community resources
• Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families
• Well versed in computer skills of the entire Microsoft Office Suite (Excel, Outlook, PowerPoint and Word)
• Strong assessment, organizational and problem-solving skills

ESSENTIAL FUNCTIONS

PEOPLE ESSENTIAL FUNCTIONS

• Communicates in an active, positive and effective manner to all healthcare team members and reports pertinent clinical patient care and family data in a comprehensive and unbiased manner; listens and responds to the ideas of others. Supports patients and families in preventing/resolving clinical or ethical issues.
• Collaborates with staff from the multidisciplinary care team concerning the discharge plan to improve outcomes and the safe transition of care. Uses a structured format for regular communication with patients and families.
• Communicates effectively with physicians, multidisciplinary care team, patients, and families to ensure safe and timely transitions of care.
• Contributes towards improvement of employee engagement as reflected by department scores, i.e., peer-to-peer accountability.

SERVICE ESSENTIAL FUNCTIONS

• Assesses all patients timely, per policy, and thoroughly. Reviews chart for medical necessity and facilitation of throughput and appropriate utilization of inpatient resources and services, etc. Initiates and facilitates referrals and transfers for home health care, hospice, durable medical equipment, and other post-acute services.
• Participates and is prepared to present barriers to efficient patient throughput in daily multi-disciplinary rounds (MDRs). Escalates appropriate discharge barriers to leadership and/or physician advisor.
• Facilitates discharge planning activities for assigned patients and collaborates with other members of the multidisciplinary care team, as well as patient and family, on clinically complex care transitions and discharges. Maintains ownership of the discharge planning process on assigned units.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Modifies care based on continuous evaluation of the patient’s medical condition and progression. Demonstrates clinical problem-solving and critical thinking within the scope of practice and makes decisions using an evidence-based analytical approach. Documents accurate assessment and interventions efficiently and effectively.
• Educates patient and family appropriately on disease process that impacts their health and readmission. Connects patient and family with resources related to their disease process.
• Proactively plans for routine discharge, elevates emergent situations, and escalates unresolved barriers. Manages usual patient assignment and other unit demands, anticipating/planning for potential problems.
• Focuses on discharge domain by contributing to department and hospital targets for quality, patient satisfaction and safety measures.

FINANCE ESSENTIAL FUNCTIONS

• Focuses on reducing length of stay for all levels of care, (inpatient, observation and outpatient in a bed) and avoidable days by ensuring efficient and timely use of resources in discharge planning and transitions. Reviews medical records for medical necessity for continued stay, facilitate timely discharge to reduce discharge delays.
• Applies knowledge of payor requirements and coverage to facilitate cost-effective discharges. Contributes to meeting department and hospital financial targets. Utilizes resources with cost effectiveness and value creation in mind. Self-motivated to independently manage time effectively and prioritize daily tasks, assisting coworkers as needed.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Identifies areas for process improvement based on understanding of evidence-based practice literature. Participates in evidence-based practice/performance improvement projects based on these observations and offers solutions.
• Seeks opportunities to identify self-development needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an ongoing basis.

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE
• Uniform: No
• Scrubs: No
• Business professional: Yes
• Other (department approved): No

ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
• On Call* Yes

TRAVEL**
**Travel specifications may vary by department**
• May require travel within the Houston Metropolitan area Yes
• May require travel outside Houston Metropolitan area No




Work Shift:

1 - Day (United States of America)



Job Category:

Clinical

Houston Methodist Willowbrook Hospital is a Magnet-recognized, not-for-profit, faith-based hospital that serves the growing Northwest Houston community. We are committed to providing quality, cost-effective health care in a compassionate environment for a full range of services, including emergency care, cardiology, orthopedics and sports medicine, comprehensive women’s services, neurology and neurosurgery, oncology, and primary and general medicine.


Houston Methodist is an Equal Opportunity Employer.

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full.  Below, you’ll find other important information about this position. 

Performs direct and indirect patient care activities under the supervision of a registered professional nurse. Assists in providing high quality, cost-effective care by performing delegated tasks. Proactively interacts with patients families and other customers to ensure a family centered experience

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High school diploma or equivalent.

2. Obtain certification in Basic Life Support or HeartSaver First Aid within 30 days of hire date.

PREFERRED QUALIFICATIONS:

EXPERIENCE:

1. Prior patient care experience preferred.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Assists in direct patient care by providing basic physical care to promote patient comfort as directed by the Registered Nurse. 

2. Assists all assigned patients with activities of daily living according to need in a timely manner including making all assigned beds.

3. Safely transports and patients according to WVUH’s Safe Patient Handling Policy to all tests and procedures as well as escorts patients for discharge.

4. Transports specimens and items throughout the facility.

5. Performs assigned tests such as glucose monitoring, urine and stool testing and maintains quality control testing & logs, according to department policy.  On Subacute Unit, CNAs are not permitted to do glucose monitoring.

6. Performs routine phlebotomy services, excluding line draws, in departments determined by management.

7. Obtains and records assigned patient temperatures, pulse rates, respiratory rates, blood pressures, intake and outputs, weights and abdominal girths according to departmental policy. 

8. Provides respiratory support by properly setting up equipment needed for oxygen administration. 

9. Encourage the usage of Incentive Spirometer according to Respiratory Care procedure.

10. Observes and reports all patient concerns/changes in condition to a registered nurse immediately.

11. Prepares patients for examinations and diagnostic procedures according to departmental procedure.                

12. Assists physicians and registered nurse with examinations and procedures.

13. Assists with basic rehab/Physical Therapy activities, i.e. active and passive range of motion and ambulation.

14. Communicates with RN regarding any nutrition issues, such as poor appetite or verbalized lack of understanding of diet changes

15. Provides total care within scope of practice (vital signs, activities of daily living) when assigned sitter or constant visual responsibilities.

16. Assists in indirect patient care by maintaining a clean and safe environment to help prevent and/or control infections and to provide for safety of patients, visitors and employees.

17. Maintains clean assigned, unit equipment according to departmental procedures.

18. Reports all necessary equipment repairs to appropriate personnel according to departmental procedure in a timely manner.

19. Assists in routine unit operations as directed/needed to assure smooth communication and functioning of the unit.

20. Courteously answers telephone in a timely manner, identifying self and unit at all times.

21. Courteously answers patient call bell and relays message to the appropriate personnel.

22. Relays accurate telephone, visitor and patient messages to appropriate persons in a timely manner.

23. Promptly completes errands as requested.

24. Unlicensed assistive personnel (UAP) may have limited access to medications including during transport of non-controlled substances at the request of a licensed care provider.

25. Removes out of date items.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Heavy/Hard work: Work requires strength and/or stamina, lifting, moving, stooping, reaching, standing, and walking. Handling of materials and equipment weighing up to 50 pounds. Pushing/Pulling carts weighing up to 200 pounds.

2. The National Institute for Occupational Safety and Health recommends minimizing the need for      employees to manually lift patients, and limit safe patient handling to 35 pounds. All transfers, lifts and re-positioning will be completed utilizing the lift equipment and/or other patient handling aids as indicated by the patient’s profile and appropriate algorithms.

3. Must be able to sit, walk or stand for prolonged periods of time.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SKILLS AND ABILITIES:

1. Demonstrate competency in the use of Safe Patient Handling equipment.

2. Excellent communication skills and strong customer service orientation.

3. Experience in dealing with simultaneously, multiple demands.

4. Good time management skills.

Additional Job Description:

Scheduled Weekly Hours:

12

Shift:

Day (United States of America)

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

WVUH West Virginia University Hospitals

Cost Center:

26 WVUH Nursing 6 East

Address:

1 Medical Center DriveMorgantownWest Virginia

Equal Opportunity Employer

 

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

Job Description:

PRN RN Position for various Instacare locations.

The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of technology, therapeutic intervention, evidence-based practice and coordination of care with other health team members.

Position Details:

• PRN - As needed; guaranteed 4 shifts per month.
• Position is stationed at Rainbow Instacare, but will be expected to float between all Instacare locations. (Pahrump, Rainbow, West Lake Mead, and Centennial.)

Minimum Qualifications

-Current RN License in state of practice.

-Basic Life Support Certification (BLS) for healthcare providers.

-Unit specific certification as required (i.e., ACLS, PALS, etc.).

-Ability to communicate effectively both verbally and in writing.

RNs with less than 12 months of working experience as an RN prior to joining Intermountain must obtain their BSN within five years of their start date.

Preferred Qualifications

-Bachelor's Degree in Nursing (BSN). Education must be obtained from an accredited institution. Degree will be verified.

Job Essentials

• Assess:Performs appropriate assessment of physical, social, and psychological status (including cognitive, communicative and developmental skills as appropriate). Seeks and evaluates information acquired from other members of interdisciplinary team: patient, family, physician, non-nursing disciplines, support staff, others. Plan: Uses assessment information and critical thinking skills to collaboratively develop individualized plan of care. Actively seeks patient, family, team, and physician involvement to develop plan of care including needed education. Collaboratively plans and prepares patients for further support needs once the current episode of care outcomes are met (i.e., teaching, referrals, and follow-up). Implement: Directs the interdisciplinary care team via delegation, coordination and collaboration as appropriate. Provides or delegates care consistent with plan of care, guidelines of care and professional licensure provisions. Demonstrates the ability to set priorities and to coordinate and organize patient care delivery through effectively managing time, supplies, and resources. Evaluate: Evaluates patient response to interventions through review of achievement of goals, clinical outcomes, patient and family satisfaction. Revises plan of care as indicated, and reassesses changes as appropriate. Professionalism: Promotes nursing profession and participate in development of others. Integrates legal and ethical standards into practice: complies with regulatory standards, practices within scope of licensure, provides accurate & timely documentation, and understands legal implications of care delivery.

• Physical Requirements

• Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies. - and - Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. - and - Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc. - and - Expected to lift and utilize full range of movement to transfer patients. Will also bend to retrieve, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. - and - Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment. This includes pushing/pulling gurneys and portable equipment, including heavy items. Often required to navigate crowded and busy rooms (full of equipment, power cords on the floor, etc). - and - May be expected to stand in a stationary position for an extended period of time.

Location:

Clinic Wynn

Work City:

Las Vegas

Work State:

Nevada

Scheduled Weekly Hours:

0

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$41.20 - $62.17

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

We are so glad you are interested in joining Sutter Health!

Organization:

MMC-Memorial Medical Center

Position Overview:

Accountable for the assessment, coordination, delivery and evaluation of nursing care, including direct patient care, patient/family education and transitions of care in an acute patient setting. Delivers holistic and individualized care to all patients in an assigned area. Develops, implements, and coordinates a plan of care that incorporates psychological, sociocultural, spiritual, economic, and life-style factors. Fosters and maintains collaborative relationships between patients, their family/support group, physicians, and other healthcare providers through timely and effective communications. Adheres to hospital policies, industry standards, best practices, and applicable laws and regulations to promote an optimal patient experience.

Job Description:

EDUCATION:
Graduate of an accredited school of nursing

OR RN license evidences completion of a RN program

CERTIFICATION & LICENSURE:

RN-Registered Nurse for the state where care is provided

BLS-Basic Life Support Healthcare Provider

DEPARTMENT REQUIRED CERTIFICATION & LICENSURE:

ACLS-Advanced Cardiac Life Support

TYPICAL EXPERIENCE:

2 years of recent relevant experience.

SKILLS AND KNOWLEDGE:

Demonstrated general knowledge and competence with regard to nursing theories, concepts and practices; medical terminology; anatomy; and physiology.

Working knowledge of the healthcare industry, safety precaution policies, best practices regarding patient care and privacy, and changes in local/state/federal regulations.

Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.

Time management and organizational skills, including the ability to prioritize patient care, assignments and work within standardized policies, procedures, and practices to achieve objectives and meet time sensitive activities.

Basic knowledge of computer applications, such as Microsoft Office Suite (Word and Outlook).

Work independently as well as be part of the team, while accomplishing multiple interventions in an ever-changing environment.

Ability to communicate and engage team members, patients and families in a variety of stressful situations.

Use existing procedures and critical thinking to identify and solve routine or complex problems.

Ensure the privacy of each patient’s protected health information (PHI).

Build collaborative relationships with peers and other healthcare providers to achieve departmental and corporate objectives.

Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines.

Job Shift:

Nights

Schedule:

Part Time

Shift Hours:

12

Days of the Week:

Variable

Weekend Requirements:

Every other Weekend

Benefits:

Yes

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

24

Employee Status:

Regular

Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $74.98 to $104.96 / hour

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

Description

Maintaining Examination/Consult Rooms & Nursing Stations 1. Clean and stock exam rooms with both supplies and forms as needed. Inform supervisor/and or employee in charge of ordering supplies when supplies are low. 2. Review stored items for expiration dates and discard as appropriate. Dispose of expired supplies from exam tables and other areas were stored per appropriate policies/procedures. 3. Prepare instruments for sterilization per appropriate policies/procedures. 4. Set-up exam rooms for procedures as indicated but not limited to the following: thyroid biopsy, pap smears, thoracentesis, lumbar puncture, flex signs, bladder catheterization, casting and splinting, cerumen removal, etc. 5. Keep patient-care corridors neat and clear of fire hazards per protocols. 6. Remove and dispose of sharps containers as per current Joint Commission/CALS policy. 7. Keep nursing stations clean and clear of clutter, while maintaining HIPAA guidelines. 8. May take the lead to maintaining clinic-based equipment and inform supervisor/and or clinical engineering of problems with equipment. 9. May take the lead to inform supervisor on state of the facility as appropriate to patient care (i.e. light bulbs out). 10. Accurately record temperatures on all refrigerators and freezers.

Assist physicians/patients for office visits. 1. Accurately take and record vital signs in patient’s medical record utilizing EPIC/Care Connect system. 2. Medications (anesthetic/not anesthetic). Correctly identify patients by using at least two patient identifiers Administer medications and injections as ordered by physician following the proper Rights of Administration and record medications in patient’s medical record. Administer TB and skin testing when ordered. 3. Recognize symptomatology of common medical illnesses and take proper precautions. 4. Respond to and participate in physical and emotional needs of the patient and their families. 5. Act as liaison between patient family and all health care providers. 6. Respond to observations and entries of the patient’s condition or life situations. 7. Prepare and assist physicians with the patient requiring special procedures. 8. Perform 12 lead EKGs when requested. 9. Recognize abnormal lab values and report to the physician. 10. Participates in identifying, developing and/or implementing strategies to ensure continuity of effective care between or among contact with health care team, according to critical pathways 11. Completes current allergies, updates current medications, reason for visit, chief complaint, family history, mini mental status, PHQ9 for depression, height/weight, BMI, intake/output, temperature, pulse, respiration, blood pressure, pain and/or pulse oximetry, head circumference as directed 12. Completes required documentation on flow sheets per clinic protocol 13. Assists with sterile/and or non-sterile dressing changes and wound care and specimen collections such as but not limited to sputum, urine, wound, stool, finger sticks, etc. 14. Assists in the identification of environmental hazards and reports to appropriate personnel 15. As directed, range refills of prescriptions, new prescriptions and or changes to existing prescriptions after obtaining medical records, locating physician. Call the pharmacy with the approval and document all of the above information into the Medical Record. 16. Anticipate the needs of physicians based on patient information or physician practice style. 17. Document supplies/medications given to patients at the time of service on charge document and submit to billing within 24 hours. 18. May take the lead to coordinate safe and timely admission of patients to the hospital if and when necessary. 19. Perform wound care including removing sutures/staples and dressing as ordered by physician. 20. Perform procedures and tests such as but not limited to all POCT performed in the office, such as Accucheck, dipsticks, occult blood, blood cultures, INR, Rapid Strep, Hemocue, Mono test, pregnancy and perform procedures such as but not limited to , CPR, ear lavage, peak flow measurements, EKG, medication administration, bladder catherizations, oxygen administration , etc as per physician orders. 21. Print lab and diagnostic information, as needed by physicians. 22. Gather and organize patient charts daily and ensure correct charting procedures. 23. Maintain, promote and model a team approach to patient care 24. Assist with follow up for referrals to specialists. 25. Review chart prior to visit to determine if reports are pending, obtain. 26. Perform and assist high quality limited X-rays, where applicable, while adhering to all UCLA Radiology guidelines. 27. Maintain accurate records of Quality Control values as required for all waived tests performed. 28. Perform vision and hearing tests as requested. 29. Assist in educating patients in preparation for special examinations. 30. Perform venipuncture and perform waived tests dependent on laboratory equipment at facility as well as prepare specimens and requisitions for transport to the main laboratory.

Act as part of the team of nurses, MA’s, physicians and staff 1. Maintain teamwork and rapport with all areas within the Department i.e. reception/registration, appointment center, medical records, radiology, pharmacy, administration, secretaries, and physician and clinical colleagues. 2. May take the lead to orient new health care personnel to the physical set-up, equipment and general policies and procedures within the unit. 3. Assist physicians by reviewing requisitions and patient charts to ensure completeness for physician review. 4. Demonstrate professional attitude and appearance following the UCLA dress code. 5. Follow university guidelines in regard to telephone usage, equipment and supplies and report any known abuses to supervisor. 6. Communicate to supervisors any problems, issues and/or suggestions and any performance improvement opportunities for the practice. 7. Follow university and department guidelines in regard to attendance. 8. Provide back up to other administration support staff in other clinic areas during periods of vacation, extended illnesses or heavy workload. 9. Facilitates a calm, orderly and quiet environment. 10. Coordinates flows of communication between appropriate staff. 11. Respects customer/staff individuality and maintains compliance with HIPAA guidelines. 12. Consistently models exceptional interpersonal skills and caring behavior in working with patients, significant others and members of patient care team. 13. Effectively responds to the unique needs of pediatric, adolescent, adult, and/or geriatric patients as needs arise. 14. Assists with checking an stocking cart supplies and assists with charging of patient charge items. 15. Assists in tracking of the inventory and expiration dates of equipment and medications and sample medications and maintains the appropriate tracking of dispensing of sample medications. 16. May take the lead to participate in projects and communicates outcomes to staff and Lead MD/Clinic Manager. 17. May take the lead by assisting other members of the team while maintaining performance of individual duties. 18. Participates in work-related continuing education and communication activities. 19. Assists in involving the patient/family in design of their teaching plan. 20. Participates in providing informal teaching to staff and students in the clinic. 21. Utilizes structured patient teaching tools to meet the patient and family learning needs. 22. Participate in unit staff meetings and in-service sessions to contribute to process improvements. 23. Participate in the creating and updating of all clinical schedules & assigned duties list. 24. Maintain par levels for clinical and medication supplies and order weekly or as needed if sooner. 25. Follow proper chain of command and communications. 26. Respond to patient requests for educational information and provide. 27. TB skin tests, administer, measure results and read as positive or negative and document results appropriately in the medical record or in CareConnect. 28. Immunizations- Enter order, administer immunization, and document administration based on standing order/ protocol and document appropriately in the medical record, CAIR, or in CareConnect. 29. Place orders/requisitions for a test, referral or other non-medical related services based on defined protocol or per documented physician instructions for limited types of services in CareConnect, Tapestry, Access Express, etc or via additional on line processes. 30. Messages- Take and collect data from the patients. 31. Patient education- Reinforce and provide written educational and instructional information to patient/family under the supervision of the MD or provider.

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Performs other duties as assigned. · This position description is not intended to be a complete list of all responsibilities, duties or skills required for the job and is subject to review and change at any time, with or without notice, in accordance with the needs of the organization.

Qualifications

Possess active license issued by the State of CA Board of Vocational Nurse Examiners with Intravenous Therapy and blood withdrawal certification. Required

Possession of active CPR BLS from the American Red Cross or American Heart Association. Required

Ability to take vital signs, administer medications and obtain drug refills as needed. Required

Ability to recognize abnormal laboratory values and report to the physician. Required

Knowledge of symptomatology of common and or life-threatening medical problems. Required

Interpersonal skills in maintaining a cooperative working environment with the physicians, staff, and all health providers. Required

Performs phlebotomy, CPR, Injections, and other skills within scope of practice. Required

Demonstrate proficiency in computer skills, Windows computer function, computer navigation, and ability to use computerized patient care systems. Required

Knowledge of all safety requirements when handling biohazardous specimens or contaminated instruments. Required

Verbal skills to effectively convey sensitive information in a courteous manner in person or on the telephone. Required

Knowledge of all instruments and supplies to perform physical examinations and/or procedures. Preferred

Description

Maintaining Examination/Consult Rooms & Nursing Stations 1. Clean and stock exam rooms with both supplies and forms as needed. Inform supervisor/and or employee in charge of ordering supplies when supplies are low. 2. Review stored items for expiration dates and discard as appropriate. Dispose of expired supplies from exam tables and other areas were stored per appropriate policies/procedures. 3. Prepare instruments for sterilization per appropriate policies/procedures. 4. Set-up exam rooms for procedures as indicated but not limited to the following: thyroid biopsy, pap smears, thoracentesis, lumbar puncture, flex signs, bladder catheterization, casting and splinting, cerumen removal, etc. 5. Keep patient-care corridors neat and clear of fire hazards per protocols. 6. Remove and dispose of sharps containers as per current Joint Commission/CALS policy. 7. Keep nursing stations clean and clear of clutter, while maintaining HIPAA guidelines. 8. May take the lead to maintaining clinic-based equipment and inform supervisor/and or clinical engineering of problems with equipment. 9. May take the lead to inform supervisor on state of the facility as appropriate to patient care (i.e. light bulbs out). 10. Accurately record temperatures on all refrigerators and freezers.

Assist physicians/patients for office visits. 1. Accurately take and record vital signs in patient’s medical record utilizing EPIC/Care Connect system. 2. Medications (anesthetic/not anesthetic). Correctly identify patients by using at least two patient identifiers Administer medications and injections as ordered by physician following the proper Rights of Administration and record medications in patient’s medical record. Administer TB and skin testing when ordered. 3. Recognize symptomatology of common medical illnesses and take proper precautions. 4. Respond to and participate in physical and emotional needs of the patient and their families. 5. Act as liaison between patient family and all health care providers. 6. Respond to observations and entries of the patient’s condition or life situations. 7. Prepare and assist physicians with the patient requiring special procedures. 8. Perform 12 lead EKGs when requested. 9. Recognize abnormal lab values and report to the physician. 10. Participates in identifying, developing and/or implementing strategies to ensure continuity of effective care between or among contact with health care team, according to critical pathways 11. Completes current allergies, updates current medications, reason for visit, chief complaint, family history, mini mental status, PHQ9 for depression, height/weight, BMI, intake/output, temperature, pulse, respiration, blood pressure, pain and/or pulse oximetry, head circumference as directed 12. Completes required documentation on flow sheets per clinic protocol 13. Assists with sterile/and or non-sterile dressing changes and wound care and specimen collections such as but not limited to sputum, urine, wound, stool, finger sticks, etc. 14. Assists in the identification of environmental hazards and reports to appropriate personnel 15. As directed, range refills of prescriptions, new prescriptions and or changes to existing prescriptions after obtaining medical records, locating physician. Call the pharmacy with the approval and document all of the above information into the Medical Record. 16. Anticipate the needs of physicians based on patient information or physician practice style. 17. Document supplies/medications given to patients at the time of service on charge document and submit to billing within 24 hours. 18. May take the lead to coordinate safe and timely admission of patients to the hospital if and when necessary. 19. Perform wound care including removing sutures/staples and dressing as ordered by physician. 20. Perform procedures and tests such as but not limited to all POCT performed in the office, such as Accucheck, dipsticks, occult blood, blood cultures, INR, Rapid Strep, Hemocue, Mono test, pregnancy and perform procedures such as but not limited to , CPR, ear lavage, peak flow measurements, EKG, medication administration, bladder catherizations, oxygen administration , etc as per physician orders. 21. Print lab and diagnostic information, as needed by physicians. 22. Gather and organize patient charts daily and ensure correct charting procedures. 23. Maintain, promote and model a team approach to patient care 24. Assist with follow up for referrals to specialists. 25. Review chart prior to visit to determine if reports are pending, obtain. 26. Perform and assist high quality limited X-rays, where applicable, while adhering to all UCLA Radiology guidelines. 27. Maintain accurate records of Quality Control values as required for all waived tests performed. 28. Perform vision and hearing tests as requested. 29. Assist in educating patients in preparation for special examinations. 30. Perform venipuncture and perform waived tests dependent on laboratory equipment at facility as well as prepare specimens and requisitions for transport to the main laboratory.

Act as part of the team of nurses, MA’s, physicians and staff 1. Maintain teamwork and rapport with all areas within the Department i.e. reception/registration, appointment center, medical records, radiology, pharmacy, administration, secretaries, and physician and clinical colleagues. 2. May take the lead to orient new health care personnel to the physical set-up, equipment and general policies and procedures within the unit. 3. Assist physicians by reviewing requisitions and patient charts to ensure completeness for physician review. 4. Demonstrate professional attitude and appearance following the UCLA dress code. 5. Follow university guidelines in regard to telephone usage, equipment and supplies and report any known abuses to supervisor. 6. Communicate to supervisors any problems, issues and/or suggestions and any performance improvement opportunities for the practice. 7. Follow university and department guidelines in regard to attendance. 8. Provide back up to other administration support staff in other clinic areas during periods of vacation, extended illnesses or heavy workload. 9. Facilitates a calm, orderly and quiet environment. 10. Coordinates flows of communication between appropriate staff. 11. Respects customer/staff individuality and maintains compliance with HIPAA guidelines. 12. Consistently models exceptional interpersonal skills and caring behavior in working with patients, significant others and members of patient care team. 13. Effectively responds to the unique needs of pediatric, adolescent, adult, and/or geriatric patients as needs arise. 14. Assists with checking an stocking cart supplies and assists with charging of patient charge items. 15. Assists in tracking of the inventory and expiration dates of equipment and medications and sample medications and maintains the appropriate tracking of dispensing of sample medications. 16. May take the lead to participate in projects and communicates outcomes to staff and Lead MD/Clinic Manager. 17. May take the lead by assisting other members of the team while maintaining performance of individual duties. 18. Participates in work-related continuing education and communication activities. 19. Assists in involving the patient/family in design of their teaching plan. 20. Participates in providing informal teaching to staff and students in the clinic. 21. Utilizes structured patient teaching tools to meet the patient and family learning needs. 22. Participate in unit staff meetings and in-service sessions to contribute to process improvements. 23. Participate in the creating and updating of all clinical schedules & assigned duties list. 24. Maintain par levels for clinical and medication supplies and order weekly or as needed if sooner. 25. Follow proper chain of command and communications. 26. Respond to patient requests for educational information and provide. 27. TB skin tests, administer, measure results and read as positive or negative and document results appropriately in the medical record or in CareConnect. 28. Immunizations- Enter order, administer immunization, and document administration based on standing order/ protocol and document appropriately in the medical record, CAIR, or in CareConnect. 29. Place orders/requisitions for a test, referral or other non-medical related services based on defined protocol or per documented physician instructions for limited types of services in CareConnect, Tapestry, Access Express, etc or via additional on line processes. 30. Messages- Take and collect data from the patients. 31. Patient education- Reinforce and provide written educational and instructional information to patient/family under the supervision of the MD or provider.

Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text.

Performs other duties as assigned. · This position description is not intended to be a complete list of all responsibilities, duties or skills required for the job and is subject to review and change at any time, with or without notice, in accordance with the needs of the organization.

Qualifications

Possess active license issued by the State of CA Board of Vocational Nurse Examiners with Intravenous Therapy and blood withdrawal certification. Required

Possession of active CPR BLS from the American Red Cross or American Heart Association. Required

Ability to take vital signs, administer medications and obtain drug refills as needed. Required

Ability to recognize abnormal laboratory values and report to the physician. Required

Knowledge of symptomatology of common and or life-threatening medical problems. Required

Interpersonal skills in maintaining a cooperative working environment with the physicians, staff, and all health providers. Required

Performs phlebotomy, CPR, Injections, and other skills within scope of practice. Required

Demonstrate proficiency in computer skills, Windows computer function, computer navigation, and ability to use computerized patient care systems. Required

Knowledge of all safety requirements when handling biohazardous specimens or contaminated instruments. Required

Verbal skills to effectively convey sensitive information in a courteous manner in person or on the telephone. Required

Knowledge of all instruments and supplies to perform physical examinations and/or procedures. Preferred