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
• NIHSTROKE - National Institute of Health Stroke Scale Certification (AHA) - American Heart Association within 4 months

Preferred

• Magnet - ANCC Recognized Certification

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:

1 - Day (United States of America)



Job Category:

Clinical

Houston Methodist Clear Lake Hospital is committed to leading medicine in Clear Lake and surrounding communities by delivering the Houston Methodist standard of exceptional safety, quality, service and innovation. Houston Methodist Clear Lake provides a broad spectrum of adult, pediatric, medical and surgical care. It is an accredited chest pain center and acute stroke-ready designated through DNV. Houston Methodist Clear Lake offers advanced inpatient and outpatient services, including state-of-the-art imaging; childbirth center with a level II neonatal intensive care unit; minimally invasive surgery; cancer center; neurology and spine care; heart and vascular care; bariatric and digestive care; emergency care; primary care; rehabilitation services; and comprehensive orthopedics and sports medicine.


Houston Methodist is an Equal Opportunity Employer.

• Night Shift

• Three 12-hour shifts per week

• Weekend and holiday rotation requirements

Pay Range:

Registered Nurse (RN) - New Graduate - Med/Surg Overflow

Winston Salem, NC

A sign-on bonus is available to applicants who have not received a sign-on bonus from the company for another role within the past 24 months.

Where You’ll Work:

Step into our dynamic Med/Surg Overflow Unit and unleash your observation nursing skills. With just 9 beds, this unit offers a diverse array of patients with various diagnoses. From direct admissions from medical offices, hospitals, and clinics across the organization to pre-surgery patients awaiting their procedures and even those in recovery, our scope is broad and ever-evolving.

Major Responsibilities:

• Engages in unit councils, professional governance, and quality initiatives to improve care processes and apply evidence-based practices.
• Utilizes the nursing process to assess, plan, diagnose, implement, and evaluate nursing care, engaging patients and families through the continuum of care.
• Monitors patient conditions, adjusts care plans, mobilizes resources, and collaborates with the care team to influence care outcomes.
• Upholds and promotes a culture of safety.
• Continuously evaluates patient, team, and unit outcomes, taking action as needed.
• May administer medications, treatments, and therapies safely and according to clinical protocols and procedures.
• Demonstrates effective communication, feedback, and conflict resolution, fostering team collaboration and appropriate delegation.
• Pursues professional development, completes required education, and maintains certifications.
• Adhere to the ANA Code of Ethics and practices ethical decision-making, respects interdisciplinary roles, and contributes to integrated, unbiased patient care.
• Appropriate delegation to other Registered Nurses, Licensed Practical Nurses, and unlicensed assistive personnel (i.e., nurse aides, credentialed medical assistants, etc.).
• Maintains accurate, timely EHR documentation.
• May be required to float to other units, departments, care areas, or facilities within the designated service area to meet patient care needs.
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served.
• Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures.
• Age-specific information is developed further in the departmental job standards.

Minimum Job Requirements 

Education:

• Graduate of a Board of Nursing approved nursing education program.

Certification / Registration / License: 

• Basic Life Support (BLS). Additional education, training, certifications, or experience may be required based on specialty. 
• Active registered nurse (RN) multi-state compact and/or single-state license with privileges to practice in the state(s) where the RN is providing client nursing services 

Note: Licensed nurses practicing via telehealth/telenursing/virtual modalities are required to be licensed or hold the privilege to practice in the state(s) where the client(s) is/are located. Licensed nurses are responsible and accountable for knowing, understanding, and practicing in compliance with the laws, rules, regulations, and standards of practice of the state(s) where the client(s) is/are located. 

Knowledge / Skills / Abilities: 

• Strong clinical judgment and critical thinking. 
• Time management, prioritization and problem-solving skills. 
• Excellent communication and interpersonal skills. 
• Ability to work in a fast-paced, dynamic environment. 
• Proficiency in operating computer functions (e.g., E-mail, electronic records, digital platforms etc.) clinical, aviation, maintenance, communications, and administrative departments.

Physical Requirements and Working Conditions:

• Must be able to sit, stand, walk, lift, squat, bend, reach above shoulders, and twist frequently throughout the workday.
• Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies.
• Must be able to: push/pull with 30 lbs. of force and perform a sliding transfer of 150 lbs. with a second person present.
• Must have functional speech, vision, hearing, and touch with ability to use fine hand manipulation skills for IV insertion and other procedures/functions.
• Maneuver foot pedals on carts or machines.
• Perform physical safety interventions such as patient restraint and verbal de-escalation, if needed.
• May be exposed to chemical and hazardous waste as well as blood and body fluids and communicable disease. Therefore, protective clothing and equipment must be worn as necessary.
• Must be able to respond quickly to changes in patient and/or unit conditions.
• Physical Abilities Testing may be required.
• Additional department specific physical requirements may be identified for unique responsibilities within the department by the nurse leader.

Preferred Job Requirements 

Education:

• Bachelor of Science degree in Nursing (BSN)

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate's job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

1900-0700 3 days per week with rotating every third weekend and holiday.

Pay Range:

Condell Medical Center

Libertyville, IL

Registered Nurse (RN)

• Registered Nurse (RN) – Emergency Room

• Scheduled Hours - 7pm to 7am

• Full time

• Every 3rd Weekend

• 4 hours of Call per Month

• 45 Bed ER

• Level 1 Trauma

• Competitive Benefit Package

• Medical, Dental, Vision, PTO, Tuition Reimbursement

• Benefits effective on Day 1 of employment!

Job Summary:

Using evidence-based practice, clinical decision making, compassion and skilled dialogue, the registered nurse leads efforts to create the safest patient environment and the best patient experience. The nurse delivers and coordinates patient-centered care across the continuum to support the successful transition of patients to other healthcare delivery systems or their home communities. The registered nurse is responsible for providing and coordinating comprehensive patient care through the appropriate utilization of assessment, diagnosis, planning, implementation and evaluation, in accordance with established standards, policies and procedures.

Position Requirements:

Graduate of an accredited school of nursing with Current IL RN license

BSN preferred, ADN acceptable with agreement for nurses with less than 12 months of experience to enroll in BSN completion program to be completed in four years.  Nurses with more than 12 months experience in direct patient care must possess a BSN or obtain either BSN or Advocate Aurora Health (AAH) recognized nursing certification within one year of the date of hire or becoming eligible to sit for certification, whichever is later.

Current AHA CPR

Ability to work weekends, holidays, and different shifts in order to accommodate staffing

Certain positions may need to take call

Work environment includes probability of exposure to adverse, hazardous, or unpleasant conditions while caring for the sick

Ability to assist in evacuation of patients in the event of a fire or other disaster

Routinely works with potentially infectious specimens and patients

Ability to respond to patients in a timely manner and access all areas of the unit

Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other team member, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate's job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

Monday through Friday following the Mecklenburg County School Calendar.

Pay Range:

Major Responsibilities:

• Prepares and rooms the patient for exam by obtaining vital signs and documenting/updating pertinent health information (i.e. chief complaint, allergies, medications).
• Performs laboratory procedures (i.e. strep test, wound culture, specimen collection, etc.) using principles of aseptic technique and standard precautions / infection control guidelines.
• Assists the physician/provider with procedures and surgeries such as pelvic exams, allergy scratch testing, EMG, cautery, colposcopy, etc.
• Administers medications, under physician/provider orders, including: immunizations, antibiotics, pain medications, vitamins, topical agents, and insulin. With limitations, initiates, maintains and discontinues IV therapy; administering selected fluids with pre-mixed medications.
• Provides basic patient education on the performance of tasks, skills, treatment and self-care. Follows through with necessary procedure or test requests, prescription refills, new appointment times and referrals to other facilities or services. Refers questions to registered nurses and physicians/providers per scope of practice guidelines and relays information back to patient as directed.
• Communicates with physicians and other members of the health care team. Documents and communicates accurate and timely information regarding patient conditions.
• Performs advanced clinical tasks or skills such as removal of sutures and staples, catheterization, audiograms, laboratory procedures (throat/nose culture, drug screen, phlebotomy - butterfly, venous access, heel stick), EKG, spirometry, Holter monitor application, casting, complex wound care, etc., with demonstrated competency and under clinical supervision.
• Organizes and prepares exam rooms, lab and work areas including: cleaning, stocking, ordering supplies, and maintaining equipment. Performs various patient positioning and transporting duties, which require lifting and pushing/pulling, while utilizing proper technique.
• Completes routine maintenance and quality monitoring of clinic equipment using appropriate technique when cleaning, sterilizing and caring for instruments and other equipment.
• Participates in patient centered initiatives, care management, performance and quality improvement activities.
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.

Licensure, Registration, and/or Certification Required:

• Licensed Practical Nurse (LPN) license issued by the state in which the team member practices, and
• Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 45 days unless department leader has determined it is not required.

Education Required:

• Completion of an accredited or approved program in Practical Nursing.

Experience Required:

• No experience required.

Knowledge, Skills & Abilities Required:

• Excellent communication (written and verbal) and interpersonal skills; ability to develop rapport and maintain positive, professional relationships with a variety of patients, staff and physicians.
• Excellent organization, prioritization and problem solving skills.
• Proficient computer skills including keyboarding, navigation within a windows operating system, and use of electronic mail with exposure to electronic medical records systems.

Physical Requirements and Working Conditions:

• Must sit, stand, walk, lift, squat, bend, twist, crawl, kneel, climb, and reach above shoulders throughout the workday.
• Must be able to:
• lift up to 50 lbs from floor to waist.
• lift up to 20 lbs over the head.
• carry up to 40 lbs a reasonable distance.
• Must be able to:
• push/pull with 30 lbs of force.
• perform a sliding transfer of 150 lbs with a second person present.
• Will be exposed to the following hazards on a frequent basis: mechanical, electrical, chemical, blood and body fluids. Will be required to wear protective clothing and equipment as needed.
• Must have functional speech, vision, hearing, and touch with ability to use fine-hand manipulation skills.
• Operates all equipment essential to perform the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate's job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

Our Mission