Jobs in Alcalde New Mexico
97 positions found — Page 3
Customs and Border Protection Officer (CBPO) NEW RECRUITMENT INCENTIVES! U.S.
Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission of protecting America.
You will be part of the Department of Homeland Security workforce, protecting American interests and securing our nation.
If you are looking for a rewarding career with great pay, benefits, and job stability, now is the time to make your move.
DON'T FORGET TO CHECK OUT THE INCENTIVES – SEE SALARY SECTION BELOW As a Customs and Border Protection Officer (CBPO) , you will be part of our 60,000 workforce that strives to protect the American people by safeguarding our borders, deterring illicit activity, and enhancing the nation's economic prosperity.
Being a CBPO makes you a valuable member of the Federal Law Enforcement Officer (LEO) profession.
Typical assignments include: Enforcing customs, immigration, and agriculture laws and regulations.
Facilitating the flow of legitimate trade and travel.
Conducting inspections of individuals and conveyances.
Determining the admissibility of individuals for entry into the United States.
Preventing the illegal entry of individuals and prohibited goods and the smuggling of illegal drugs and other contraband.
Duty Locations – Incentives available for some locations You will be asked to provide your preference for one of the following mission-critical locations: Anchorage, AK; Douglas, Lukeville, Nogales and San Luis, AZ; Calexico, Otay Mesa, San Francisco, San Ysidro, and Tecate, CA; Washington, D.C.; Key West, Miami, and Orlando FL; Honolulu, HI; Chicago, IL; Calais, Eastport, Houlton, Jackman, Madawaska, Van Buren, and Vanceboro, ME; Detroit, Port Huron, and Sault Ste Marie, MI; Grand Portage and International Falls, MN; Raymond, Roosville, Sweetgrass, and Wild Horse, MT; Columbus and Santa Teresa, NM; Alexandria Bay, Champlain, Massena, Trout River, and Buffalo NY; Dunseith, Pembina, and Portal, ND; Brownsville, Dallas, Del Rio, El Paso, Hidalgo, Laredo, Presidio, Progreso and Houston, TX; Beecher Falls, Derby Line, Highgate Springs, Norton, and Richford, VT; Blaine, Oroville, and Sumas, WA.
The preference locations listed above are expected to have vacancies available in the future, however, if the duty locations do not have vacancies at the time of your final offer, you may be offered a duty location in another geographic location within the United States.
Locations offered are based on operational and mission requirements and critical agency hiring needs for entry-level CBPOs as determined by the CBP Office of Field Operations (OFO).
Salary – and Duty Location Recruitment Incentives – and Benefits Recruitment Incentive Newly appointed Customs and Border Protection Officers (as defined in 5 CFR 575.102 ) will be offered up to a $15,000 incentive per year, for a three-year service contract, in the following locations: Arizona: Douglas, Lukeville, Nogales, San Luis California: Calexico Hawaii: Honolulu Maine: Calais, Eastport, Houlton, Jackman, Madawaska, Van Buren, Vanceboro Michigan: Detroit, Port Huron, Sault Sainte Marie Minnesota: Grand Portage, International Falls Montana: Raymond, Sweetgrass New York: Alexandria Bay, Champlain, Massena, Trout River North Dakota: Dunseith, Portal Vermont: Beecher Falls, Derby Line, Highgate Springs, Norton, Richford Washington: Blaine, Oroville Recruitment Incentive Newly appointed Customs and Border Protection Officers (as defined in 5 CFR 575.102 ) will be offered up to a $15,000 incentive per year, for a four-year service contract, in the following locations: California: Otay Mesa, San Francisco, San Ysidro, Tecate Florida: Key West North Dakota: Pembina Annual Base Salary for newly appointed CBPOs varies as follows: GS-5 and GS-7 $40,332
- $109,952 per year Locality pay varies by duty location.
Note: A fully trained CBPO is eligible for up to $45,000 in overtime pay in addition to the starting salary.
Grade level eligibility and salaries vary depending upon background, including experience and education, and duty location of the opportunity.
This is a career ladder position with a grade level progression of GS-5, GS-7, GS-9, GS-11, and GS-12.
You will be eligible for a promotion to the next higher grade level (without re-applying) once you successfully complete 52 weeks in each grade level.
Promotions are at the discretion of the agency.
Officers are eligible to select from an array of federal employment benefits that include health, dental and other insurance plans, a generous annual and sick leave program, and participation in the Thrift Savings Plan, a retirement plan akin to a traditional and ROTH 401(k) offering.
Qualifications: You qualify for the GS-5 grade level if you possess one of the following: Experience: A minimum of three (3) years full-time general work experience that demonstrates the ability to meet and deal with people and the ability to learn and be able to apply a body of facts; OR Education Substitution: A bachelor's degree or successful completion of a full four (4)-year course of study in any field leading to a bachelor's degree from an accredited college or university; OR Combination of Experience and Education: A combination of successfully completed college education AND general work experience.
This will be calculated using your resume and official or unofficial college transcripts submitted with your application.
You qualify for the GS-7 grade level if you possess one of the following: Experience: A minimum of one (1) year of specialized full-time work experience equivalent to at least the next lower grade level that includes: Performing physical inspections of people, documents or goods for criminal activity, fraud, and/or illegal operations.
Utilizing observational techniques, evaluating facts, and reviewing documentation while applying Federal, State, or local laws and regulations.
Making determinations in compliance with laws and regulations that may lead to arrests, seizure of property, fines, and/or penalties based on findings.
OR for the GS-7 grade level: Education Substitution: A bachelor's degree with Superior Academic Achievement based on (1) class standing, (2) grade-point average (3.0 or higher), or (3) honor society membership; OR one (1) full year of graduate-level education.
This education must demonstrate the knowledge, skills, and abilities necessary to do the work; OR Combination of Experience and Education: A combination of specialized work experience equivalent to the next lower grade level AND graduate level education from an accredited college or university.
This will be calculated using your resume and official or unofficial transcripts submitted with your application.
If you have previous or current law enforcement or military law enforcement experience , you may qualify at the GS-9 grade level.
See the GS-9 Job Opportunity Announcement (JOAs) at USAJOBS, the federal government's official employment site to determine if you qualify.
Other Requirements: Citizenship : You must be a U.S.
Citizen to apply for this position.
Residency : You must have had primary U.S.
residency (includes protectorates as declared under international law) for at least three (3) of the last five (5) years.
Age Restriction : In accordance with Public Law 100-238, this position is covered under law enforcement retirement provisions.
Candidates must be referred for selection to the Customs and Border Protection Officer position before reaching their 40th birthday in accordance with Department of Homeland Security Directive 251-03.
The age restriction may not apply if you are currently serving or have previously served in a federal civilian law enforcement (non-military) position covered by Title 5 U.S.C.
8336(c) or Title 5 U.S.C.
8412(d).
Veterans' Preference : You may also be eligible for an excepted service Veterans Recruitment Appointment (VRA).
The age restriction does not apply if you are Veterans' Preference eligible.
Formal Training : You will be required to complete a paid pre-academy orientation for approximately two (2) weeks at your home port.
You will then attend a 101-day training program – CBP Field Operations Academy – conducted at the Federal Law Enforcement Training Center (FLETC) located in Glynco, GA.
This training consists of basic law enforcement skills, immigration laws, firearms training, examination of cargo/bags/merchandise, physical fitness, etc.
Candidates assigned to the southern border, Miami, or Puerto Rico duty locations must attend and pass an online Spanish training program, which will be completed at their home port.
Successful completion of the Academy is required for this position .
How to Apply: Click the Apply button on this site.
You will be linked to the CBP Talent Network page.
For Position of Interest , select Customs and Border Protection Officer.
You'll then receive a link(s) to the CBPO JOA(s) on USAJOBS to complete your application.
Be certain to review ALL details of the job opportunity announcement and follow all instructions in the application process, including items (resume, transcripts, etc.) to submit.
You will be evaluated based on your resume, supporting documents, and the CBPO Entrance Exam.
As a subscriber to the CBP Talent Network, you'll receive monthly emails with information about webinars, career expos, and future opportunities with OFO and CBP.
The Clinical Supervisor, in collaboration with and under the direction of the Nursing Department Director/Manager, is accountable for ongoing shift leadership and operations of a clinical department and for nursing care safety and quality. The Clinical Supervisor uses sound human resource and budget principles to guide the daily provision of nursing services to patients and families. The Clinical Supervisor supports comprehensive patient and family services through effective participation with the interdisciplinary team. The Clinical Supervisor is responsible for supervising nursing department associates and providing patient care when needed. Coaches and guides employees under his/her supervision. Demonstrates Professionalism and Excellence by performing as role model for clinical and service excellence.
Responsibilities:
Demonstrates current, comprehensive, professional knowledge and skills in conformance with recognized nursing standards including the Patient Bill of Rights and Joint Commission/CMS regulations, Standards for Nursing Care for the Patient Care Unit and the New Mexico Nurse Practice Act.
Conducts patient experience rounds to determine satisfaction with services and performs service recovery real-time. Assists manager/director in investigation of patient or physician complaints.
Champions change by identifying obstacles and requesting resources for effective improvement.
Prepares patient assignments based on patient need and associate competency level. Assigns unit tasks, meal/break time and ensures completion.
Assists Patient Flow Supervisor in monitoring and improving patient flow metrics, including collaborating to determine appropriate placement based on patient needs.
Promotes cohesive work teams and constructive conflict resolution, actively supporting intra- and inter-disciplinary teamwork, within the department.
Monitors, coaches and reinforces associate's compliance with policy and procedures.
Applies and holds associates accountable for infection control policies and processes.
Monitors and coaches staff in hourly rounding and use of patient communication boards.
Serves as clinical resource for associates related to complex clinical situations and invasive devices relevant to unit patient population.
Monitors fall risk and skin at risk programs to ensure appropriate interventions are implemented to meet prevention strategies.
Monitors pain management regimes with nursing staff and facilitates physician communication when not meeting patient pain goals.
Facilitates associate participation in unit based multi-disciplinary rounds.
Demonstrates awareness and implementation of National Patient Safety Goals as applicable in their area of practice. Monitors and coaches associates for compliance with NPSG.
Reassesses the effectiveness of comfort measures (including PRN medications given) within 1 hour of intervention. Monitors associate compliance with this standard.
Coaches and mentors associates to make cost effective decisions and use resources prudently achieving both productivity and competence expectations.
Adheres to guidelines for IV therapy/Blood Administration. Monitors and coaches staff compliance.
Adheres to medication administration guidelines and safe medication practices. Monitors and coaches staff to ensure for compliance with medication administration and safe medication practices.
Utilizes AIDET to make a positive first impression. Monitors and coaches associates to achieve AIDET process.
Demonstrates and takes responsibility for workplace safety. Exhibits knowledge regarding the hazard and injury reporting procedures.
Accurately interprets monitored rhythms and intervenes according to hospital policies and standards.
Assists with special procedures as applicable to patient population.
Assists in data collection, assessment and documentation appropriate to nature and severity of the need of the patient population.
Communicates appropriate data to the physician and other patient care team members.
Ensures timely and accurate implementation of physician orders.
Performs emergency equipment checks at start of shift.
Primary responder to unit emergent events including Code Blue Alert and Rapid Response Team. (Critical Care responds to RRT throughout the organization).
Code Blue Alert Management – Prepares patients for emergency treatment with thorough knowledge of emergency practices. Coordinates emergency measures to sustain life.
Performs end of shift controlled substance count and ensures resolution of all Pyxis discrepancies prior to shift end.
Provides appropriate hand-off communication with patient transitions of care.
Assists manager/director in development of unit associate time schedule.
Assists staffing office in determining real time staffing needs based on census, patient needs and skill set of associates.
Assists with new associate selection and unit education-participating in staff interviews, setting clear staff performance expectations, encouraging staff development, and completing timely performance evaluations-including staff input in each process.
Initiates first level counseling as appropriate. Assists manager/director in corrective action/discipline process as indicated.
Performs patient care duties when appropriate.
Requirements:
Education:
Graduate of an accredited school of Nursing. BSN preferred. National specialty certification preferred.
Experience:
3 years relevant experience preferred but not required.
Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.
Certifications, Registrations, or Licenses:
Current RN license in the State of New Mexico.
Current BLS Certification.
Current ACLS Certification or obtain within 6 months.
Current PALS/NRP if applicable to area.
Current TNCC if applicable to area or obtain within 6 months.
Current CPI or equivalent must be obtained within six months for Behavioral Health and Emergency Department.
BLS, ACLS and PALS must be issued through American Heart Association.
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
The Nurse Extern II can assist with the care of hospitalized patients.
The Nurse Extern II may be assigned other functions in accordance with hospital/department policies, procedures, and protocols.
Responsibilities: Life-threatening situations are readily identified and reported to the R.N.
Initiates and assists with basic life support when needed.
Observes/reports unusual symptoms to the nurse, i.e., abnormal V/S; IV site redness, edema; suspicious areas of skin breakdown accurately and promptly.
Reports patient/family-related problems, i.e., patient’s dissatisfaction/refusal of nursing care routines; departure from activity advancements or restrictions.
Demonstrates a working knowledge of the aseptic/sterile technique.
Follows universal precautions.
Records information accurately and promptly.
Reports change in patient’s condition and/or vital signs.
Assists with laboratory specimens, i.e., collection or delivery.
Complies with timekeeping system.
Accrues no unexcused absences, and no more than three unscheduled absences.
Uses supplies and equipment appropriately documents use in the medical record and records charges appropriately.
Participates in 80% of prescribed in-service programs and departmental meetings.
When unable to attend (20% max) follow up to obtain information discussed.
Follows hospital and/or unit policy for dress and personal hygiene.
Follows necessary safety precautions, hospital policies, and departmental policies.
Attends infection control and safety programs.
Follows hospital policies and/or departmental rules.
Follows the CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
Associate timely completes all required educational requirements.
Requirements: Education/Skills Nurse Extern II
- students in RN school in clinicals Currently enrolled in a nursing program to obtain either an associate degree or bachelor’s degree to become a registered nurse Must have completed their first hospital clinical rotation and be in good standing in the nursing program Proficient in basic nursing tasks Experience Six (6) months of experience in patient care preferred Licenses, Registrations, or Certifications AHA BLS required within 2 weeks of employment Provides updated transcript at beginning of semester Work Schedule: MULTIPLE SHIFTS AVAILABLE Work Type: Per Diem As Needed
Summary:
Responsible for managing, coordinating and integrating all Care Coordination services within CHRISTUS St. Vincent Health System. Provides Care Coordination services to patients based on person-centered acuity and coordinates patient in hospital or clinic setting. Contributes to a cooperative and accountable working relationship with other members of the Care Coordination system staff toward the goal of providing continuous high quality services to patients. Promotes optimal person-centered care that supports and empowers individuals, respects individual choices and meets health care needs of patients. Works side-by-side with clinical leaders in the development and implementation of protocols. May work in traditional clinic setting and/or in a training environment (residency program) or other areas as assigned.
Responsibilities:
Provides Care Coordination services in the ambulatory setting that supports quality patient care across the continuum.
Ability to work in a variety of electronic medical records, ability to compile record information into a single patient file. Inputs patient orders from standing protocols and displays above average critical thinking skills.
Maintains coordination of health care for patients within CSVCG; routinely interacts with physicians, administrators, managers, care coordinators and patients to ensure an integrated continuum of person-centered services and programs.
Communicates in such a way to promote harmonious interpersonal relationships within and among all settings of care.
Develops relationships with a variety of community resources to include Skilled Nursing Facility (SNF), rehab, Long Term Acute Care (LTAC), home health, hospice, palliative care, and other essential community support agencies. Maintains good working knowledge of services provided by these entities.
Works closely with the interdisciplinary team and providers to ensure appropriate referrals, follow-up and optimal patient outcomes over time. Is able to close the loop on referrals and any pending patient care needs efficiently.
Exhibits behaviors and actions which create a high level of patient satisfaction, contributes to positive patient relations and reflects respect for a patient’s rights, needs and confidentiality.
Participates and can lead pertinent groups (such as interdisciplinary teams).
Tracks, analyzes and interprets patient satisfaction, outcome measure and individual patient treatment plans.
Requirements:
Education:
Registered Nurse, BSN in Nursing, preferred.
Experience:
Minimum of two years of experience in a health care setting and related experience with quality, care coordination and population health preferred.
Considerable knowledge of health care facilities, policies and issues, and of the full spectrum of community patient care services
Considerable knowledge of health care and social management principles
Ability to coordinate various functions and activities for maximum cooperation and integration of services providers and persons receiving care within a clinic for continuum of care services
Ability to direct, instruct and advise staff, and to receive and effectively react to day-to-day problems
Ability to utilize strong communication skills, both written and oral, and effectively demonstrate an interactive style of care coordination
Ability to understand and implement sensitivity and culture of care measures appropriate to a diverse population
Ability to work with various levels of the CHRISTUS organization including clinical, financial, administrative and medical staff.
Certifications, Registrations, or Licenses:
Current New Mexico Nursing License
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
The Clinical Supervisor, in collaboration with and under the direction of the Nursing Department Director/Manager, is accountable for ongoing shift leadership and operations of a clinical department and for nursing care safety and quality. The Clinical Supervisor uses sound human resource and budget principles to guide the daily provision of nursing services to patients and families. The Clinical Supervisor supports comprehensive patient and family services through effective participation with the interdisciplinary team. The Clinical Supervisor is responsible for supervising nursing department associates and providing patient care when needed. Coaches and guides employees under his/her supervision. Demonstrates Professionalism and Excellence by performing as role model for clinical and service excellence.
Responsibilities:
Demonstrates current, comprehensive, professional knowledge and skills in conformance with recognized nursing standards including the Patient Bill of Rights and Joint Commission/CMS regulations, Standards for Nursing Care for the Patient Care Unit and the New Mexico Nurse Practice Act.
Conducts patient experience rounds to determine satisfaction with services and performs service recovery real-time. Assists manager/director in investigation of patient or physician complaints.
Champions change by identifying obstacles and requesting resources for effective improvement.
Prepares patient assignments based on patient need and associate competency level. Assigns unit tasks, meal/break time and ensures completion.
Assists Patient Flow Supervisor in monitoring and improving patient flow metrics, including collaborating to determine appropriate placement based on patient needs.
Promotes cohesive work teams and constructive conflict resolution, actively supporting intra- and inter-disciplinary teamwork, within the department.
Monitors, coaches and reinforces associate's compliance with policy and procedures.
Applies and holds associates accountable for infection control policies and processes.
Monitors and coaches staff in hourly rounding and use of patient communication boards.
Serves as clinical resource for associates related to complex clinical situations and invasive devices relevant to unit patient population.
Monitors fall risk and skin at risk programs to ensure appropriate interventions are implemented to meet prevention strategies.
Monitors pain management regimes with nursing staff and facilitates physician communication when not meeting patient pain goals.
Facilitates associate participation in unit based multi-disciplinary rounds.
Demonstrates awareness and implementation of National Patient Safety Goals as applicable in their area of practice. Monitors and coaches associates for compliance with NPSG.
Reassesses the effectiveness of comfort measures (including PRN medications given) within 1 hour of intervention. Monitors associate compliance with this standard.
Coaches and mentors associates to make cost effective decisions and use resources prudently achieving both productivity and competence expectations.
Adheres to guidelines for IV therapy/Blood Administration. Monitors and coaches staff compliance.
Adheres to medication administration guidelines and safe medication practices. Monitors and coaches staff to ensure for compliance with medication administration and safe medication practices.
Utilizes AIDET to make a positive first impression. Monitors and coaches associates to achieve AIDET process.
Demonstrates and takes responsibility for workplace safety. Exhibits knowledge regarding the hazard and injury reporting procedures.
Accurately interprets monitored rhythms and intervenes according to hospital policies and standards.
Assists with special procedures as applicable to patient population.
Assists in data collection, assessment and documentation appropriate to nature and severity of the need of the patient population.
Communicates appropriate data to the physician and other patient care team members.
Ensures timely and accurate implementation of physician orders.
Performs emergency equipment checks at start of shift.
Primary responder to unit emergent events including Code Blue Alert and Rapid Response Team. (Critical Care responds to RRT throughout the organization).
Code Blue Alert Management – Prepares patients for emergency treatment with thorough knowledge of emergency practices. Coordinates emergency measures to sustain life.
Performs end of shift controlled substance count and ensures resolution of all Pyxis discrepancies prior to shift end.
Provides appropriate hand-off communication with patient transitions of care.
Assists manager/director in development of unit associate time schedule.
Assists staffing office in determining real time staffing needs based on census, patient needs and skill set of associates.
Assists with new associate selection and unit education-participating in staff interviews, setting clear staff performance expectations, encouraging staff development, and completing timely performance evaluations-including staff input in each process.
Initiates first level counseling as appropriate. Assists manager/director in corrective action/discipline process as indicated.
Performs patient care duties when appropriate.
Requirements:
Education:
Graduate of an accredited school of Nursing. BSN preferred. National specialty certification preferred.
Experience:
3 years relevant experience preferred but not required.
Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.
Certifications, Registrations, or Licenses:
Current RN license in the State of New Mexico.
Current BLS Certification.
Current ACLS Certification or obtain within 6 months.
Current PALS/NRP if applicable to area.
Current TNCC if applicable to area or obtain within 6 months.
Current CPI or equivalent must be obtained within six months for Behavioral Health and Emergency Department.
BLS, ACLS and PALS must be issued through American Heart Association.
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
Summary:
The Clinical Supervisor, in collaboration with and under the direction of the Nursing Department Director/Manager, is accountable for ongoing shift leadership and operations of a clinical department and for nursing care safety and quality. The Clinical Supervisor uses sound human resource and budget principles to guide the daily provision of nursing services to patients and families. The Clinical Supervisor supports comprehensive patient and family services through effective participation with the interdisciplinary team. The Clinical Supervisor is responsible for supervising nursing department associates and providing patient care when needed. Coaches and guides employees under his/her supervision. Demonstrates Professionalism and Excellence by performing as role model for clinical and service excellence.
Responsibilities:
Demonstrates current, comprehensive, professional knowledge and skills in conformance with recognized nursing standards including the Patient Bill of Rights and Joint Commission/CMS regulations, Standards for Nursing Care for the Patient Care Unit and the New Mexico Nurse Practice Act.
Conducts patient experience rounds to determine satisfaction with services and performs service recovery real-time. Assists manager/director in investigation of patient or physician complaints.
Champions change by identifying obstacles and requesting resources for effective improvement.
Prepares patient assignments based on patient need and associate competency level. Assigns unit tasks, meal/break time and ensures completion.
Assists Patient Flow Supervisor in monitoring and improving patient flow metrics, including collaborating to determine appropriate placement based on patient needs.
Promotes cohesive work teams and constructive conflict resolution, actively supporting intra- and inter-disciplinary teamwork, within the department.
Monitors, coaches and reinforces associate's compliance with policy and procedures.
Applies and holds associates accountable for infection control policies and processes.
Monitors and coaches staff in hourly rounding and use of patient communication boards.
Serves as clinical resource for associates related to complex clinical situations and invasive devices relevant to unit patient population.
Monitors fall risk and skin at risk programs to ensure appropriate interventions are implemented to meet prevention strategies.
Monitors pain management regimes with nursing staff and facilitates physician communication when not meeting patient pain goals.
Facilitates associate participation in unit based multi-disciplinary rounds.
Demonstrates awareness and implementation of National Patient Safety Goals as applicable in their area of practice. Monitors and coaches associates for compliance with NPSG.
Reassesses the effectiveness of comfort measures (including PRN medications given) within 1 hour of intervention. Monitors associate compliance with this standard.
Coaches and mentors associates to make cost effective decisions and use resources prudently achieving both productivity and competence expectations.
Adheres to guidelines for IV therapy/Blood Administration. Monitors and coaches staff compliance.
Adheres to medication administration guidelines and safe medication practices. Monitors and coaches staff to ensure for compliance with medication administration and safe medication practices.
Utilizes AIDET to make a positive first impression. Monitors and coaches associates to achieve AIDET process.
Demonstrates and takes responsibility for workplace safety. Exhibits knowledge regarding the hazard and injury reporting procedures.
Accurately interprets monitored rhythms and intervenes according to hospital policies and standards.
Assists with special procedures as applicable to patient population.
Assists in data collection, assessment and documentation appropriate to nature and severity of the need of the patient population.
Communicates appropriate data to the physician and other patient care team members.
Ensures timely and accurate implementation of physician orders.
Performs emergency equipment checks at start of shift.
Primary responder to unit emergent events including Code Blue Alert and Rapid Response Team. (Critical Care responds to RRT throughout the organization).
Code Blue Alert Management – Prepares patients for emergency treatment with thorough knowledge of emergency practices. Coordinates emergency measures to sustain life.
Performs end of shift controlled substance count and ensures resolution of all Pyxis discrepancies prior to shift end.
Provides appropriate hand-off communication with patient transitions of care.
Assists manager/director in development of unit associate time schedule.
Assists staffing office in determining real time staffing needs based on census, patient needs and skill set of associates.
Assists with new associate selection and unit education-participating in staff interviews, setting clear staff performance expectations, encouraging staff development, and completing timely performance evaluations-including staff input in each process.
Initiates first level counseling as appropriate. Assists manager/director in corrective action/discipline process as indicated.
Performs patient care duties when appropriate.
Requirements:
Education:
Graduate of an accredited school of Nursing. BSN preferred. National specialty certification preferred.
Experience:
3 years relevant experience preferred but not required.
Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.
Certifications, Registrations, or Licenses:
Current RN license in the State of New Mexico.
Current BLS Certification.
Current ACLS Certification or obtain within 6 months.
Current PALS/NRP if applicable to area.
Current TNCC if applicable to area or obtain within 6 months.
Current CPI or equivalent must be obtained within six months for Behavioral Health and Emergency Department.
BLS, ACLS and PALS must be issued through American Heart Association.
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
Summary:
The Clinical Supervisor, in collaboration with and under the direction of the Nursing Department Director/Manager, is accountable for ongoing shift leadership and operations of a clinical department and for nursing care safety and quality. The Clinical Supervisor uses sound human resource and budget principles to guide the daily provision of nursing services to patients and families. The Clinical Supervisor supports comprehensive patient and family services through effective participation with the interdisciplinary team. The Clinical Supervisor is responsible for supervising nursing department associates and providing patient care when needed. Coaches and guides employees under his/her supervision. Demonstrates Professionalism and Excellence by performing as role model for clinical and service excellence.
Responsibilities:
- Demonstrates current, comprehensive, professional knowledge and skills in conformance with recognized nursing standards including the Patient Bill of Rights and Joint Commission/CMS regulations, Standards for Nursing Care for the Patient Care Unit and the New Mexico Nurse Practice Act.
- Conducts patient experience rounds to determine satisfaction with services and performs service recovery real-time. Assists manager/director in investigation of patient or physician complaints.
- Champions change by identifying obstacles and requesting resources for effective improvement.
- Prepares patient assignments based on patient need and associate competency level. Assigns unit tasks, meal/break time and ensures completion.
- Assists Patient Flow Supervisor in monitoring and improving patient flow metrics, including collaborating to determine appropriate placement based on patient needs.
- Promotes cohesive work teams and constructive conflict resolution, actively supporting intra- and inter-disciplinary teamwork, within the department.
- Monitors, coaches and reinforces associate's compliance with policy and procedures.
- Applies and holds associates accountable for infection control policies and processes.
- Monitors and coaches staff in hourly rounding and use of patient communication boards.
- Serves as clinical resource for associates related to complex clinical situations and invasive devices relevant to unit patient population.
- Monitors fall risk and skin at risk programs to ensure appropriate interventions are implemented to meet prevention strategies.
- Monitors pain management regimes with nursing staff and facilitates physician communication when not meeting patient pain goals.
- Facilitates associate participation in unit based multi-disciplinary rounds.
- Demonstrates awareness and implementation of National Patient Safety Goals as applicable in their area of practice. Monitors and coaches associates for compliance with NPSG.
- Reassesses the effectiveness of comfort measures (including PRN medications given) within 1 hour of intervention. Monitors associate compliance with this standard.
- Coaches and mentors associates to make cost effective decisions and use resources prudently achieving both productivity and competence expectations.
- Adheres to guidelines for IV therapy/Blood Administration. Monitors and coaches staff compliance.
- Adheres to medication administration guidelines and safe medication practices. Monitors and coaches staff to ensure for compliance with medication administration and safe medication practices.
- Utilizes AIDET to make a positive first impression. Monitors and coaches associates to achieve AIDET process.
- Demonstrates and takes responsibility for workplace safety. Exhibits knowledge regarding the hazard and injury reporting procedures.
- Accurately interprets monitored rhythms and intervenes according to hospital policies and standards.
- Assists with special procedures as applicable to patient population.
- Assists in data collection, assessment and documentation appropriate to nature and severity of the need of the patient population.
- Communicates appropriate data to the physician and other patient care team members.
- Ensures timely and accurate implementation of physician orders.
- Performs emergency equipment checks at start of shift.
- Primary responder to unit emergent events including Code Blue Alert and Rapid Response Team. (Critical Care responds to RRT throughout the organization).
- Code Blue Alert Management – Prepares patients for emergency treatment with thorough knowledge of emergency practices. Coordinates emergency measures to sustain life.
- Performs end of shift controlled substance count and ensures resolution of all Pyxis discrepancies prior to shift end.
- Provides appropriate hand-off communication with patient transitions of care.
- Assists manager/director in development of unit associate time schedule.
- Assists staffing office in determining real time staffing needs based on census, patient needs and skill set of associates.
- Assists with new associate selection and unit education-participating in staff interviews, setting clear staff performance expectations, encouraging staff development, and completing timely performance evaluations-including staff input in each process.
- Initiates first level counseling as appropriate. Assists manager/director in corrective action/discipline process as indicated.
- Performs patient care duties when appropriate.
Requirements:
Education:
- Graduate of an accredited school of Nursing. BSN preferred. National specialty certification preferred.
Experience:
- 3 years relevant experience preferred but not required.
- Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.
Certifications, Registrations, or Licenses:
- Current RN license in the State of New Mexico.
- Current BLS Certification.
- Current ACLS Certification or obtain within 6 months.
- Current PALS/NRP if applicable to area.
- Current TNCC if applicable to area or obtain within 6 months.
- Current CPI or equivalent must be obtained within six months for Behavioral Health and Emergency Department.
- BLS, ACLS and PALS must be issued through American Heart Association.
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Per Diem As Needed
Summary:
A Registered Professional Dialysis Nurse is responsible for the delivery of safe, high-quality patient care through the processes of assessment, diagnosis, planning, implementation, and evaluation. This role actively participates in the development and implementation of individualized care plans for each patient, providing both direct and indirect care throughout the dialysis treatment process, including pre- and post-treatment assessments and the administration of prescribed medications.
In addition, the Registered Professional Dialysis Nurse ensures the safe and efficient operation of dialysis equipment and supplies in accordance with hospital and departmental policy, applying principles of stewardship to minimize waste, optimize use of resources, and preserve the integrity of supplies and equipment. Documentation in the medical record must be accurate, timely, and reflective of both patient outcomes and prudent resource management. By combining clinical excellence with responsible stewardship, this role supports the delivery of high-value, sustainable dialysis care.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Demonstrates appropriate hand hygiene, use of PPE, and facility hygiene, including cleaning and disinfection of work surfaces and equipment—pre-treatment, intra-treatment, and post-treatment.
- Operates all available dialysis equipment and supplies based on safety, effectiveness, and cost in accordance with organizational policy to provide expected patient outcomes; documents in the medical record and records change appropriately.
- Follows policy and procedure in performance of water treatment procedures and testing; properly demonstrates electrolyte addition to acid concentrate per physician order.
- Provides documented pre- and post-dialysis nursing assessments that include but are not limited to: patient weight and fluid removal calculations, lung sounds and presence of edema, vital signs, review of current labs, and assessment and care of the dialysis access.
- Obtains pre- and post-dialysis lab specimens per physician order and organizational policy.
- Initiates, monitors, and terminates each dialysis treatment per organizational policy and procedure.
- Follows organizational policy and procedure in response to dialysis-related complications, emergencies, and technical issues. Nurses are required to obtain approval from leadership identified per organizational policy, for lab culture collection from dialysis catheters via the House Supervisor prior to specimen collection.
- Follows organizational policy and procedure in the administration of all medications during dialysis, including as-needed (PRN) medications, blood and blood products, and erythropoiesis-stimulating agents (ESAs).
- Ensures patients are transported in a timely manner to and from dialysis treatments to minimize delays in care and maintain treatment schedules. Nurses should transport patients themselves when necessary to prevent delays in care or to ensure timely discharge.
- Participates in the development and implementation of an individualized plan of care for each patient.
- Verifies the safety of each dialysis treatment by performing and documenting required equipment safety checks, including acid and bicarb expiration dates and chlorine/chloramine testing before every treatment and Minncare residual testing as needed.
- Responsible for accurately entering charges for each patient they provide care for, ensuring timely and complete documentation of billable services in accordance with departmental procedures.
- Manages time so that workflow is efficient and consistent.
- Perform other duties as assigned.
Job Requirements:
Education/Skills
- Associate's degree in nursing required
- Bachelor's degree in Science in Nursing (BSN) preferred
Experience
- 1 year of dialysis experience required
- 1 year of acute clinical experience as a registered nurse preferred
- Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience is preferred
- Clinical patient care experience in a relevant setting preferred
Licenses, Registrations, or Certifications
- RN license in the state of employment or compact required
- BLS required
- ACLS required
- PALS required at CHRISTUS Children's Hospital
In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
Summary:
An integral member of the obstetrical team who assists the staff in the care of the obstetrical patient by performing delegated tasks to provide basic nursing care to patients and support for surgeons throughout operative procedures.
Responsibilities:
- Identifies safety needs of the patient in Labor and Delivery.
- Identifies and reports breaks in sterile technique.
- Introduces self and explains role as a member of the surgical team.
- Plans patient care in Labor and Delivery with other members of the surgical team utilizing the surgeon's preference card.
- Identifies immediate and long-term consequences of surgical intervention.
- Understands the legal ramifications of surgical intervention.
- Responds appropriately to emergency situations.
- Demonstrates integrity in technical and aseptic practice. Adheres to established policy based on AORN Standards of Care.
- Prepares and knows the specific use of all equipment and supplies used for the surgical procedure.
- Differentiates sterilization methods for equipment and instruments necessary for specific surgical procedures.
- Maintains accurate count of sponges, needles and instruments at all times.
- Obtains necessary equipment and supplies according to the surgeons preference card prior to the case starting.
- Anticipates the needs of the surgeon in order to expedite the procedure.
- Identifies and is familiar with anatomy and physiology.
- Participates effectively in identification of unsafe patient care practices and assumes responsibility for intervention.
- Obtains medications from RN as verbally ordered by the surgeon and verifies order with physician.
- Clarifies any uncertainties regarding surgical plan of care.
- Displays dexterity in the use of surgical instruments and knowledge of the step by step procedures in specific surgical case.
- Demonstrates initiative in learning new surgical procedures and equipment relating to L&D and the surgical patient.
- Demonstrates self evaluation skills and takes responsibility to seek supervision and guidance as appropriately needed.
- Offers help and responds willingly to requests for assistance from coworkers, nurses and management.
- Keeps staff and management informed of procedure changes affecting the L&D schedule.
- Reports pertinent information to the appropriate person.
- Makes frequent rounds on patients to assure safety and comfort.
- Anticipates work load to assure that routines and supplies are maintained to expedite patient care.
- Carries out procedures according to standards.
- Reports malfunctioning equipment and disturbing incidents that occur in patient rooms and on the unit.
- Charges supplies appropriately, prevents waste of supplies.
- Cleans specified equipment and areas as assigned. Removes trash and used equipment.
- Maintains patient records and charts to ensure an accurate record of the patient's medical treatment including temperature, blood pressure, weight, respiration and pulse.
- Provides personal care assistance to patients, including bathing, dressing, eating, bedpans and transportation.
- Maintains confidentiality of patient and unit care data.
- Participates in educational programs and in-service meetings.
- Orders supplies and equipment as delegated by Nurse Manager.
Requirements:
Education:
- High school diploma or equivalent.
Experience:
- One year Nursing Assistant experience preferred and/or completion of Nursing Assistant course within one year. Two years hospital experience preferred.
- Completion of competency based skills checklist.
Certifications, Registrations, or Licenses:
- BLS certification required.
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Per Diem As Needed
Summary:
The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
- Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
- Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
- Documents patient history, symptoms, medication, and care given.
- Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.
Job Requirements:
Education/Skills
- Bachelor of Science Degree in Nursing, preferred
Experience
- 1 year of experience in the related nursing specialty preferred
Licenses, Registrations, or Certifications
- BLS required
- RN License in state of employment or compact
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time