Jobs in Alexandria, LA

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

Position Requirements:

Education/Skills

· All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.

· New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department- specific competency validation.

· All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program's tracking software.

· Completion of all annual competency verification requirements.

Experience

· One year of experience in a related nursing specialty preferred.

Licenses, Registrations, or Certifications

· Current ACLS certification required

· Current PALS certification required

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame.

Credential Grace Periods:

If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.

• Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.
• Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty.

Work Schedule:

7PM - 7AM

Work Type:

Full Time

Border Patrol Agent (BPA) – in the Federal Security and Public Safety Sector Experienced (GL-9 GS-11)

SAME MISSION, NEW DRIVE!

You love protecting your community and doing your part to keep our nation safe. But maybe you're looking for a change of scenery?

USBP is hiring immediately for full-time, career positions, where your prior law enforcement officer (LEO) experience may qualify you for higher-graded Border Patrol Agent (BPA) opportunities. Continue making a difference with the nation's premier federal agency charged with securing our borders and protecting our country.

Whether you gained this experience as part of a military police unit or as a member of a state or local law enforcement organization, you have an opportunity to work with highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission.

Check out the duties and responsibilities section below, along with the qualifications section to see if you are eligible. Now is the time to make your move, along with excellent base pay, location pay, exceptional benefits, and job stability, USBP is offering up to $60,000 in additional incentives to newly appointed Agents (see details below).

DON'T FORGET TO CHECK OUT THE INCENTIVES – SEE SALARY SECTION BELOW

IMPORTANT NOTICE: Duty assignments available at the time of offer may include the Southwest Border, including prioritized locations.

U.S. Border Patrol determines duty assignments at the time of offer based on operational needs, which may or may not align with candidates' first-choice preferences. Relocation may be required.

U.S. Customs and Border Protection (CBP) is hiring immediately for these full-time, career Law Enforcement Officer (LEO) opportunities.

Salary and Benefits:

Salary for newly appointed law enforcement Border Patrol Agents varies from:

Base Salary: GL-9/GS-11, $63,148 - $120,145 per year
Locality Pay: Varies by duty location.
Overtime Pay: Up to 25%

Duty location impacts pay rates; locality pay for federal law enforcement is higher in some locations than others. A fully trained BPA may be eligible for up to an additional 25% of base pay per the BPA Pay Reform Act of 2014. This is a career ladder position with a grade level progression from GL-9 to GS-11 to 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 the lower grade level.

All Border Patrol Agents may select from an array of federal employment benefits that include health and insurance plans, a generous annual and sick leave program, and participation in the Thrift Savings Plan, a retirement plan that is similar to traditional and ROTH 401(k) offerings.

*Recruitment Incentive* Newly appointed Border Patrol Agents (as defined in 5 CFR 575.102) will be offered up to a $20,000 incentive. The first $10,000 will be paid upon successful completion of the Border Patrol Academy, with the remaining $10,000 awarded for accepting a prioritized location. Prioritized locations include Sierra Blanca, TX; Presidio, TX; Sanderson, TX; Comstock, TX; Lordsburg, NM; Freer, TX; Hebbronville, TX; Ajo, AZ.

*Retention Incentive* Newly appointed Border Patrol Agents may also qualify for up to $40,000 in additional incentives distributed over their first four years.

Duty Locations: You will be asked to select your preferred location for one of the following mission critical locations:

• Big Bend Sector Stations - *Presidio, Van Horn, *Sanderson, Alpine, *Sierra Blanca, Marfa
• Buffalo Sector Stations - Wellesley Island
• Del Rio Sector Stations - Del Rio, Brackettville, *Comstock, Eagle Pass North, Eagle Pass South, Carrizo Springs, Uvalde
• El Paso Sector Stations - Alamogordo, Clint, Deming, El Paso, Fort Hancock, Las Cruces, *Lordsburg, Santa Teresa, Ysleta
• El Centro Sector Stations - El Centro, Indio, Calexico
• Grand Forks Sector Stations - Pembina
• Havre Sector Stations - Havre, Malta, Plentywood, Scobey, Sweetgrass
• Houlton Sector Stations - Calais, Fort Fairfield, Jackman, Rangeley, Van Buren
• Laredo Sector Stations - Laredo South, Cotulla, *Hebbronville, Laredo West, *Freer, Laredo North, Zapata
• Rio Grande Valley Sector Stations - Rio Grande City, Fort Brown, McAllen, Brownsville, Falfurrias, Weslaco, Kingsville, Harlingen
• San Diego Sector Stations - Boulevard, Brownfield, Campo, Chula Vista, Imperial Beach, Murrieta, San Clemente
• Spokane Sector Stations - Colville, Curlew, Metaline Falls, Oroville
• Swanton Sector Stations - Beecher Falls, Burke, Champlain, Newport, Richford
• Tucson Sector Stations - *Ajo, Tucson, Nogales, Douglas, Brian A Terry, Sonoita, Casa Grande, Three Points Substation, Willcox
• Yuma Sector Stations - Blythe, Yuma, Wellton

Duties and Responsibilities:

As a BPA, 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 BPA makes you a valuable member of the Federal Law Enforcement Officer (LEO) profession.

Typical assignments include:

• Detecting and questioning people suspected of violating immigration and customs laws and inspecting documents and possessions to determine citizenship or violations.
• Preventing and apprehending aliens and smugglers of aliens at or near the borders by maintaining surveillance from covert positions to include using infrared scopes during night operations.
• Interpreting and following tracks, marks, and other physical evidence of illegal entry of persons or contraband.
• Performing farm checks, building checks, traffic checks, city patrols, and transportation checks.
• Patrolling the international boundary and coastal waterways using a variety of government assets such as vehicles, horses, vessels, watercraft, off-road vehicles, ATVs, snowmobiles, and motorcycles for the accomplishment of the USBP Mission.

Qualifications:

GL-9: You qualify for the GL-9 grade level if you possess one (1) year of specialized experience, equivalent to at least the next lower grade level, performing duties such as:

• Performing physical searches of detained individuals, their vehicles, and their immediate surroundings for weapons, contraband, currency, and other evidence.
• Apprehending, physically restraining, or working with law enforcement officials to identify or apprehend violators of state, federal, or immigration laws.
• Proficient in the use of firearms, preparing investigative reports, serving court orders (e.g., warrants, subpoenas, etc.), and gathering evidence for criminal cases prosecuted through the court system.

If you have previous or current law enforcement or military law enforcement experience, you may qualify at the GS-11 grade level.

GS-11: You qualify for the GS-11 grade level if you possess one year of specialized experience equivalent to at least the next lower grade level, with the authority granted by the state or government to enforce laws, make arrests, and investigate crimes, performing primary duties in an official law enforcement capacity such as:

• Utilizing intelligence information to track illegal operations, criminal activity, threats to our nation, and/or contraband while serving as a state, federal, or military law enforcement official.
• Leading investigations of fraud, contraband, criminal activity, threats to our nation, and/or illegal operations to determine sources and patterns while serving as a state, federal, or military law enforcement official.
• Apprehending violators of state, federal, or immigration laws by utilizing various forms of complex technology that include surveillance, detection, situation awareness systems, and/or communications equipment.

The above experience will be applied in connection with the following: Make arrests and exercise sound judgment in the use of firearms; deal effectively with people in a courteous manner in connection with law enforcement matters; analyze information rapidly and make prompt decisions; or develop and maintain contact with a network of informants.

There are no education substitutions for the GL-9 or GS-11 grade-level Border Patrol Agent opportunities.

Other Requirements:

Citizenship: You must be a U.S. Citizen to apply for this position.

Residency: You must have had primary U.S. residency (including protectorates as declared under international law) for at least three of the last five 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 Border Patrol Agent 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: After you are hired, you will be detailed to the U.S. Border Patrol Academy in Artesia, New Mexico, for approximately six (6) months of intensive instruction in immigration and nationality laws, law enforcement, and USBP-specific operations, driver training, physical techniques, firearms, and other courses. Border Patrol work requires the ability to speak and read Spanish, as well as English. Border Patrol Agents will be provided training to become proficient in the Spanish language at the Academy.

How to Apply:

Click the Apply button on this site. You will be linked to the CBP Talent Network registration page. For Position of Interest, select Border Patrol Agent, and then complete the pre-screening questions.

You'll then receive a link(s) to the BPA Job Opening Announcements (JOAs) on USAJOBS, the federal government's official employment site, 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 BPA Entrance Exam.

If you have questions about the application process, contact a recruiter through the U.S. Border Patrol page: /s/usbp.

NOTE: As a subscriber to the CBP Talent Network, you'll receive monthly emails with information about webinars, career expos, and future opportunities with CBP.

Job Title : Medical Assistant/Technician (Hospital Corpsman) Category / Component : Enlisted • Both Overview Hospital Corpsmen assist healthcare professionals and provide medical and dental care to Sailors, Marines, and their families across clinics, hospitals, ships, and field units, gaining broad clinical, technical, and operational experience.

Key Responsibilities Perform emergency medical treatment for Sailors, Marines, and specialized units such as SEALs and Seabees; provide basic and emergency dental care and process dental X rays; serve as operating room technician and assist in surgery; administer preventive care and medications including immunizations and IVs; conduct physical exams and assist in diagnosing and treating diseases and injuries; maintain patient records, perform clinical tests, and support physicians and nurses in a wide range of specialties.

What to Expect Hands on patient care with shift work and possible on call duties; field training and deployments with Marine and expeditionary units and embarked medical departments on ships; continuous certification and recertification in areas such as basic life support, trauma care, and tactical combat casualty care; mix of clinic, ward, and field environments with rapid response in emergent situations and a strong emphasis on teamwork and readiness.

Work Environment Assignments in Navy hospitals and clinics, aboard aircraft carriers and other ships, with Marine units in garrison and field environments, and occasionally on submarines; work in exam rooms, wards, operating rooms, emergency departments, aid stations, and field medical sites; close integration with medical teams, line units, and joint or coalition partners.

Pathways, Training & Advancement Recruit Training followed by Hospital Corpsman A School at Fort Sam Houston, Texas; numerous advanced C schools that lead to Navy Enlisted Classifications in areas such as Independent Duty Corpsman, Fleet Marine Force, preventive medicine, surgical technology, respiratory therapy, pharmacy, radiology, laboratory, dental, and dive medicine; progressive professional development through leadership courses and warfare qualifications such as Fleet Marine Force and Surface, Aviation, or Expeditionary pins where applicable.

Direct enlistment into the Hospital Corpsman rating from civilian life; in service conversion for qualified Sailors from other ratings who meet screening and performance criteria; Reserve accession for prior service Hospital Corpsmen and select civilian medical professionals when manning needs allow.

Qualifications All Navy jobs require meeting general enlistment or commissioning standards, which typically include: Eligibility to serve in the United States Navy, which may involve United States citizenship or other legal residency and work status, depending on the program and current law and policy A high school diploma or equivalent for enlisted positions, and a bachelor's or qualifying professional degree for officer positions Meeting age limits that vary by program and are set in law and Navy policy.

Some communities have more restrictive age ranges Meeting medical, vision, and dental standards, including body composition and physical fitness requirements, with some jobs requiring more demanding standards Meeting character and conduct standards, including background screening Achieving required test scores for your program, such as the Armed Services Vocational Aptitude Battery for enlisted roles or officer qualification tests for officer programs Eligibility for a security clearance when required for your rating or designator Additional qualifications can include specific skills, education, licensure, or experience that are unique to a job or community and will be reviewed with you by a recruiter.

Additional qualifications for this job may include: United States citizenship or equivalent status as allowed by policy; high school diploma or equivalent; at least 17 years of age; interest in healthcare and willingness to work in clinical and field environments, potentially under stressful conditions; ability to meet medical, vision, and physical fitness standards required for medical and operational assignments.

Education Education benefits are available through standard Navy programs such as Tuition Assistance, the Post-9/11 GI Bill, ACE-recommended college credit for Navy training, Navy COOL-funded certifications, USMAP apprenticeships, and other Navy College Program opportunities.

Specific options depend on the Sailor's status, training, and current Navy policy.

Pay, Benefits & Service Pay, benefits, and service commitments follow standard Navy Active and/or Reserve policies for this type of role, including basic pay, allowances when eligible, health coverage, and retirement options.

Exact entitlements, special pays, and service obligations depend on program, component, years of service, and current law and Navy guidance.

Incentives Incentives such as bonuses, special pays, and loan repayment may be available at times for specific ratings or communities, but they change frequently and cannot be guaranteed.

Applicants must confirm current incentives and eligibility with an official Navy recruiter or authoritative Navy source.

Notes and Disclaimers This description is a general overview of typical duties, training, and opportunities in this community.

It does not replace official Navy instructions, policies, or contracts and does not guarantee specific assignments, training, incentives, or outcomes.

Actual opportunities depend on Navy needs, individual performance, screening results, and current law and policy.

Job Title : Medical Assistant/Technician (Hospital Corpsman) Category / Component : Enlisted • Both Overview Hospital Corpsmen assist healthcare professionals and provide medical and dental care to Sailors, Marines, and their families across clinics, hospitals, ships, and field units, gaining broad clinical, technical, and operational experience.

Key Responsibilities Perform emergency medical treatment for Sailors, Marines, and specialized units such as SEALs and Seabees; provide basic and emergency dental care and process dental X rays; serve as operating room technician and assist in surgery; administer preventive care and medications including immunizations and IVs; conduct physical exams and assist in diagnosing and treating diseases and injuries; maintain patient records, perform clinical tests, and support physicians and nurses in a wide range of specialties.

What to Expect Hands on patient care with shift work and possible on call duties; field training and deployments with Marine and expeditionary units and embarked medical departments on ships; continuous certification and recertification in areas such as basic life support, trauma care, and tactical combat casualty care; mix of clinic, ward, and field environments with rapid response in emergent situations and a strong emphasis on teamwork and readiness.

Work Environment Assignments in Navy hospitals and clinics, aboard aircraft carriers and other ships, with Marine units in garrison and field environments, and occasionally on submarines; work in exam rooms, wards, operating rooms, emergency departments, aid stations, and field medical sites; close integration with medical teams, line units, and joint or coalition partners.

Pathways, Training & Advancement Recruit Training followed by Hospital Corpsman A School at Fort Sam Houston, Texas; numerous advanced C schools that lead to Navy Enlisted Classifications in areas such as Independent Duty Corpsman, Fleet Marine Force, preventive medicine, surgical technology, respiratory therapy, pharmacy, radiology, laboratory, dental, and dive medicine; progressive professional development through leadership courses and warfare qualifications such as Fleet Marine Force and Surface, Aviation, or Expeditionary pins where applicable.

Direct enlistment into the Hospital Corpsman rating from civilian life; in service conversion for qualified Sailors from other ratings who meet screening and performance criteria; Reserve accession for prior service Hospital Corpsmen and select civilian medical professionals when manning needs allow.

Qualifications All Navy jobs require meeting general enlistment or commissioning standards, which typically include: Eligibility to serve in the United States Navy, which may involve United States citizenship or other legal residency and work status, depending on the program and current law and policy A high school diploma or equivalent for enlisted positions, and a bachelor's or qualifying professional degree for officer positions Meeting age limits that vary by program and are set in law and Navy policy.

Some communities have more restrictive age ranges Meeting medical, vision, and dental standards, including body composition and physical fitness requirements, with some jobs requiring more demanding standards Meeting character and conduct standards, including background screening Achieving required test scores for your program, such as the Armed Services Vocational Aptitude Battery for enlisted roles or officer qualification tests for officer programs Eligibility for a security clearance when required for your rating or designator Additional qualifications can include specific skills, education, licensure, or experience that are unique to a job or community and will be reviewed with you by a recruiter.

Additional qualifications for this job may include: United States citizenship or equivalent status as allowed by policy; high school diploma or equivalent; at least 17 years of age; interest in healthcare and willingness to work in clinical and field environments, potentially under stressful conditions; ability to meet medical, vision, and physical fitness standards required for medical and operational assignments.

Education Education benefits are available through standard Navy programs such as Tuition Assistance, the Post-9/11 GI Bill, ACE-recommended college credit for Navy training, Navy COOL-funded certifications, USMAP apprenticeships, and other Navy College Program opportunities.

Specific options depend on the Sailor's status, training, and current Navy policy.

Pay, Benefits & Service Pay, benefits, and service commitments follow standard Navy Active and/or Reserve policies for this type of role, including basic pay, allowances when eligible, health coverage, and retirement options.

Exact entitlements, special pays, and service obligations depend on program, component, years of service, and current law and Navy guidance.

Incentives Incentives such as bonuses, special pays, and loan repayment may be available at times for specific ratings or communities, but they change frequently and cannot be guaranteed.

Applicants must confirm current incentives and eligibility with an official Navy recruiter or authoritative Navy source.

Notes and Disclaimers This description is a general overview of typical duties, training, and opportunities in this community.

It does not replace official Navy instructions, policies, or contracts and does not guarantee specific assignments, training, incentives, or outcomes.

Actual opportunities depend on Navy needs, individual performance, screening results, and current law and policy.

Job Title : Medical Assistant/Technician (Hospital Corpsman) Category / Component : Enlisted • Both Overview Hospital Corpsmen assist healthcare professionals and provide medical and dental care to Sailors, Marines, and their families across clinics, hospitals, ships, and field units, gaining broad clinical, technical, and operational experience.

Key Responsibilities Perform emergency medical treatment for Sailors, Marines, and specialized units such as SEALs and Seabees; provide basic and emergency dental care and process dental X rays; serve as operating room technician and assist in surgery; administer preventive care and medications including immunizations and IVs; conduct physical exams and assist in diagnosing and treating diseases and injuries; maintain patient records, perform clinical tests, and support physicians and nurses in a wide range of specialties.

What to Expect Hands on patient care with shift work and possible on call duties; field training and deployments with Marine and expeditionary units and embarked medical departments on ships; continuous certification and recertification in areas such as basic life support, trauma care, and tactical combat casualty care; mix of clinic, ward, and field environments with rapid response in emergent situations and a strong emphasis on teamwork and readiness.

Work Environment Assignments in Navy hospitals and clinics, aboard aircraft carriers and other ships, with Marine units in garrison and field environments, and occasionally on submarines; work in exam rooms, wards, operating rooms, emergency departments, aid stations, and field medical sites; close integration with medical teams, line units, and joint or coalition partners.

Pathways, Training & Advancement Recruit Training followed by Hospital Corpsman A School at Fort Sam Houston, Texas; numerous advanced C schools that lead to Navy Enlisted Classifications in areas such as Independent Duty Corpsman, Fleet Marine Force, preventive medicine, surgical technology, respiratory therapy, pharmacy, radiology, laboratory, dental, and dive medicine; progressive professional development through leadership courses and warfare qualifications such as Fleet Marine Force and Surface, Aviation, or Expeditionary pins where applicable.

Direct enlistment into the Hospital Corpsman rating from civilian life; in service conversion for qualified Sailors from other ratings who meet screening and performance criteria; Reserve accession for prior service Hospital Corpsmen and select civilian medical professionals when manning needs allow.

Qualifications All Navy jobs require meeting general enlistment or commissioning standards, which typically include: Eligibility to serve in the United States Navy, which may involve United States citizenship or other legal residency and work status, depending on the program and current law and policy A high school diploma or equivalent for enlisted positions, and a bachelor's or qualifying professional degree for officer positions Meeting age limits that vary by program and are set in law and Navy policy.

Some communities have more restrictive age ranges Meeting medical, vision, and dental standards, including body composition and physical fitness requirements, with some jobs requiring more demanding standards Meeting character and conduct standards, including background screening Achieving required test scores for your program, such as the Armed Services Vocational Aptitude Battery for enlisted roles or officer qualification tests for officer programs Eligibility for a security clearance when required for your rating or designator Additional qualifications can include specific skills, education, licensure, or experience that are unique to a job or community and will be reviewed with you by a recruiter.

Additional qualifications for this job may include: United States citizenship or equivalent status as allowed by policy; high school diploma or equivalent; at least 17 years of age; interest in healthcare and willingness to work in clinical and field environments, potentially under stressful conditions; ability to meet medical, vision, and physical fitness standards required for medical and operational assignments.

Education Education benefits are available through standard Navy programs such as Tuition Assistance, the Post-9/11 GI Bill, ACE-recommended college credit for Navy training, Navy COOL-funded certifications, USMAP apprenticeships, and other Navy College Program opportunities.

Specific options depend on the Sailor's status, training, and current Navy policy.

Pay, Benefits & Service Pay, benefits, and service commitments follow standard Navy Active and/or Reserve policies for this type of role, including basic pay, allowances when eligible, health coverage, and retirement options.

Exact entitlements, special pays, and service obligations depend on program, component, years of service, and current law and Navy guidance.

Incentives Incentives such as bonuses, special pays, and loan repayment may be available at times for specific ratings or communities, but they change frequently and cannot be guaranteed.

Applicants must confirm current incentives and eligibility with an official Navy recruiter or authoritative Navy source.

Notes and Disclaimers This description is a general overview of typical duties, training, and opportunities in this community.

It does not replace official Navy instructions, policies, or contracts and does not guarantee specific assignments, training, incentives, or outcomes.

Actual opportunities depend on Navy needs, individual performance, screening results, and current law and policy.

This facility is seeking an Emergency Medicine Physician for locum tenens support as they look to fill a current need.

Details & requirements for this opportunity:

Schedule: 7a-5p; 11a-9p, 4p-2a, 9p-7a

Job Setting: Inpatient

Types of Cases: General

Credentialing Timeframe: Not specified

PATIENTS PER DAY About 135/day

AMN Healthcare is a digitally enabled workforce solutions partner focused on solving the biggest challenges affecting healthcare organizations today. We offer a single-partner approach to optimize labor sources, increase operating margins, and provide technologies to expand the reach of care.

Do you have the PRN career opportunities as a Nurse Extern PRN Telemetry Renal you want with your current employer? We have an exciting opportunity for you to join Rapides Regional Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Job Summary and Qualifications

As a Nurse Extern, you’ll be a valued part of the nursing team, gaining hands-on experience as you explore the full scope of the Registered Nurse role. You’ll help deliver safe, compassionate care that improves patients’ lives while building the skills and confidence to take on more advanced responsibilities as you progress through your nursing program.

Your responsibilities will include:

• Providing essential care for patients by helping with ADLs (Activities of Daily Living), checking vital signs, supporting mobility, and ensuring comfort and hygiene
• Performing nursing tasks like wound care, catheter care, collecting specimens, and other basic procedures as you gain experience and grow in your competency
• Documenting care accurately and communicating timely updates with the nursing team to keep patient care seamless and coordinated
• Helping patients and families understand their care plans and offering guidance for their health and recovery
• Keeping patient areas clean and safe by following infection prevention practices, managing equipment, and maintaining an organized environment
• Championing your growth and enhancing patient care by engaging in learning opportunities, sharing ideas to improve care, and partnering with your supervisor or preceptor to build your personal career development plan

• Basic Cardiac Life Support must be obtained within 30 days of employment start date
• Must be enrolled in an accredited nursing (ADN or BSN) program
• Preferred candidate to have completed Foundation, Fundamental or Med Surg I clinical

Rapides Regional Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include some or all of the following:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location and position. 

Rapides Regional Medical Center is a 350+ bed hospital and ER in Alexandria, Louisiana. We offer services ranging from Cancer Care to Wound Care. Our medical staff includes doctors in more than 30 medical specialties. At Rapides Regional we believe that well-defined values are the key to nurturing staff and patient satisfaction. By joining our team you contribute to the positive culture of the hospital. This culture impacts the well-being of patients and their families. It also impacts your colleagues, and your own personal job satisfaction. Learn what our commitment to patient satisfaction, service excellence and professional expertise can do for your career.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Nurse Extern PRN Telemetry Renal opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status

Summary:

The Clinical Documentation Registered Nurse collaborates extensively with physicians, nursing staff, other patient caregivers and coding staff to improve the quality and completeness of documentation of care provided and coded for coordination, abstraction and submission of accurate data required by CMS. Facilitates concurrent modifications to clinical documentation to insure commensurate reimbursement of clinical severity and services rendered to patients with a DRG based payer (Medicare, Medicaid). Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. Communicates with and educates all clinical staff concerning accurate and effective clinical documentation.

Responsibilities:

• Reviews inpatient medical records for identified payer populations as within one business day of admission and throughout hospitalization to identify opportunities for physician documentation.
• Analyzes clinical status of patient, current treatment plan, and past medical history and identifies potential gaps in MD documentation and leaves physician query to obtain complete, accurate clinical documentation.
• Works closely with HIM coding staff to assure documentation of discharge diagnosis and any co-existing co-morbidities is a complete reflection of the patient’s clinical status and care
• Maintain a DRG worksheet to assist coders on identifying all documented POA/HAC, diagnosis and procedures
• Updates DRG worksheet to reflect any changes to inpatient status/procedure/treatment and confers with the physician to finalize diagnosis.
• Demonstrates basic knowledge about HIM coding standards and applies to ongoing evaluation of medical record documentation for accuracy of physician documentation to support the acuity of illness.
• Performs chart review on expired patients to identify severity of illness and risk of mortality for performance improvement activities.
• Develops and implements plans for both formal and informal education of physician, nursing, and other clinical staff on clinical documentation opportunities, coding and reimbursement as well as performance improvement methodologies.
• Collaborate with case manager regarding cases with length of stay outside of the expected GMLOS, to ensure documentation identifies severity of illness and maximizes reimbursement potential.
• Coordinates and assures complete and accurate data collection and validation for public reporting data initiatives for Premier, CMS and JCAHO.
• Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps identify problems, offers solutions, and participates in their resolution.
• Coordinates with quality department by: providing concurrent review for core measures documentation, providing retrospective chart audits as needed, and educating nursing and medical staff of improvement and current status of quality initiates.
• Performs follow-up to document physician response to queries. Tracks and trends patterns of physician responses and reports monthly to director.
• Designs and implements collaboration with physician leadership specific tools to support medical record physician documentation.
• Review clinical issues with coding staff to assign working DRG’s.
• Work collaboratively with the coding staff to ensure that documentation of discharge diagnoses and co-morbidities are a complete reflection of the patient’s clinical status and care.
• Review final DRG and compare with clinical data gathered to ensure the DRG assigned is appropriated and that all co-morbidities are captured.
• Communicates with Case Management Director and/or Vice President of Medical Affairs regarding program barriers/success/outcomes of CDI program.
• Assists in collection and organization of data for analysis by appropriate medical and hospital committees.
• Consistently meets established productivity targets for record review.
• Maintain strict confidentiality at all time.
• Performs other duties as assigned. 

Requirements:

• Associate's Degree in Nursing
• RN License in state of employment or compact

Work Schedule:

PRN

Work Type:

Per Diem As Needed

Summary:

This position is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The clinical documentation RN will provide support and expertise through comprehensive assessment and review of inpatient medical records. The clinical documentation RN will facilitate accurate DRG assignment and obtain appropriate documentation through extensive interaction with physicians, patient caregivers and health information management coding staff to ensure that reimbursement is received for the level of services rendered to the patients.

Responsibilities:

• Analyzes clinical status of patient, current treatment plan and past medical history and identifies potential gaps in physician documentation
• Communicates with attending physician either verbally or through written methodology to validate observations and suggest additional and/or more specific documentation
• Maintains positive open communication with physicians, nursing and all other disciplines involved in the care of the patient
• Works closely with HIM Coding staff to assure documentation of discharge diagnosis and any co-existing co-morbidities are a complete reflection of the patient's clinical status and care
• Maintains an electronic DRG worksheet to assist coders on identifying all documented diagnosis and procedures
• Updates DRG worksheet to reflect any changes inpatient status/procedure/treatment and confers with the physician to finalize diagnosis
• Consistently meets established productivity targets for record review
• Designs and implements in collaboration with physician leadership specific tools to support medical record physician documentation
• Develops and implements plans for both formal and informal education of physician, nursing, and other clinical staff on clinical documentation opportunities, coding and reimbursement as well as performance improvement methodologies
• Assists in collection and organization of data for analysis by appropriate medical and hospital committees
• Identifies strategies for sustained work process changes that facilitate complete, accurate clinical documentation
• Demonstrates competence to perform assigned responsibilities is a manner that meets the population-specific and developmental needs of the members served by the department
• Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age-specific and other developmental needs of each member served
• Takes personal responsibility to ensure compliance with all policies, procedures and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities
• Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties
• Performs other duties as assigned

Requirements:

• Associate's Degree in Nursing
• RN License in state of employment or compact

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time