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 within 4 months and
• NRP - Neonatal Resuscitation or Instructor (AHA,AAP) - American Heart Association and American Academy of Pediatrics within 4 months and
• FHMC - Fetal Heart Monitoring Cert - Int, Adv, or Instructor (AWHONN) - Association of Womens Health Obstetric and Neonatal Nurses within 4 months

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 ATTIREUniform: NoScrubs: YesBusiness professional: NoOther (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 YesMay require travel outside Houston Metropolitan area No




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.

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 

Job Description:

This position has been allocated for a board certified Advanced Practice Provider.

Advanced Practice Provider-Hospitalist

Position Title: Hospitalist Advanced Practice Provider (APP)

Location: Riverton Hospital

Department: Internal Medicine

Position Type: PRN

Work Schedule:

-Daytime Admitting/Rounding Shift: 7am-5pm

-10-hour shifts, including weekends and holidays

-No call required

Job Description Summary

We are a rapidly expanding our Hospitalist team of physicians and advanced practice providers committed to clinical quality improvement and ensuring patients receive the highest quality care at an affordable cost.

We are looking for an experienced inpatient APP to join our Salt Lake Valley Hospitalist team on an as-needed basis (PRN). PRN providers are required to submit availability for at least two shifts per month. Please note that shifts are not guaranteed in this PRN role.

The Hospitalist Advanced Practice Provider (APP) will play a critical role in the management of hospitalized patients, with a primary focus on those on general medicine floors. In this role you will work with a multidisciplinary team of doctors, case managers, nurses, dietitians, and pharmacists to provide optimal patient care and outcomes.

Key Responsibilities:

Advanced Practice Providers (APPs) are accountable for the provision of patient care at the top of licensure, within their scope of practice. Licensed, credentialed and privileged to perform such duties as:

• Conduct comprehensive assessments, including history and physical examinations.
• Develop, implement, and evaluate treatment plans in collaboration with attending physicians.
• Manage acute and chronic medical conditions, including initiating appropriate diagnostic and therapeutic interventions.
• Work closely with multidisciplinary teams, including physicians, nurses, respiratory therapists, and pharmacists, to ensure coordinated patient care.
• Facilitate communication between patients, families, and healthcare teams, ensuring that patients and their families are informed and involved in care decisions and care transitions.
• Maintain accurate and timely documentation of patient encounters, treatment plans, and progress notes in the electronic health record (EHR) system.
• Ensure compliance with hospital policies, regulatory requirements, and best practice standards.
• Participate in ongoing professional development and continuing education to stay current with advancements in critical care and internal medicine.
• Engage in quality improvement initiatives within the hospitalist program and hospital.
• Participate in hospital committees, task forces, and meetings as required.

About us:

Intermountain Health is a model health system by providing extraordinary care and superior service at an affordable cost. We are an integrated not-for-profit system of 33 hospitals, 385 clinics, and a medical group with more than 5,000 employed physicians and advanced practice providers across seven states in the mountain west.

Our value statements are core to our culture. They reflect the behavior and attitudes that are important to us, are an agreement for how we treat each other, help us make decisions on how to act, and are a promise of what people can expect from us. Learn more about our Mission, Vision, and Values.

What does it mean to be a part of Intermountain Health?

It means joining the Power of We, building an environment where providers and caregivers can deliver the best in healthcare. Realizing each caregiver and volunteer is vital to providing care to our patients, because WE can only achieve the extraordinary together. Committed to the best in research and most advanced technology, the results are better clinical patient outcomes

Qualifications

• Licensure/Certification:Current licensure as a Nurse Practitioner (NP) or Physician Assistant (PA) in UtahBoard certification as an Acute Care Nurse Practitioner (ACNP), Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP), or Physician Assistant (PA-C)DEA Certificate II through V - DOJ Drug Enforcement Division ACLS and BLS certification for healthcare providers
• Experience:Minimum of 2 years of inpatient APP experience; hospitalist or critical care setting preferred. Due to the proficient clinical skills necessary for this role, APPs currently in their training programs and/or recently graduated APPs will not be considered at this time.

• Skills and Abilities:Strong clinical decision-making and critical thinking skills.Ability to work independently and as part of a team in a fast-paced, high-acuity environment.Excellent communication, interpersonal, and organizational skills.Commitment to patient-centered care and continuous improvement.

• Ability to work in a hospital environment, which may involve exposure to infectious diseases and high-stress situations.
• Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.
• 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.
• 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.
• May be expected to stand in a stationary position for an extended period of time.

Location:

Intermountain Health Riverton Hospital

Work City:

Riverton

Work State:

Utah

Scheduled Weekly Hours:

0

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

$51.61 - $79.62

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.

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.