Borderlands 4 Shift Codes Jobs in Usa
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The McMillan Family Medicine Clinic is now hiring for a personable and hard-working Medical Assistant!
Position Summary & Highlights:This MA position will support a busy and established physician at the clinic.
You will also work with other MAs and RNs to support other Providers in a great workplace culture.
You will have the opportunity to use a variety of your MA skills and will see a variety of patients.
McMillan Family Medicine Clinic takes a collaborative, team-based approach to providing patients the best care possible.
In addition to primary MA duties, you will also perform phlebotomy, administer immunizations, and prep injections.
You will assist with minor procedures, complete POC and other tests, and also complete tasks and orders in the task inbox.
An ideal candidate is friendly and enjoys working in a fast-paced and strong team environment.
You will have effective communication skills, are flexible, has a positive attitude, and enjoys working independently and on a team.
40 hours per week, 4 - 10 hour shifts, Mondays, Tuesdays, Wednesdays, Thursdays (Fridays off) around the hours of either 6:30am - 5:00pm or 7:00am - 5:30pm.
Shift start and end time may vary based on provider and clinic needs.
12273 W. McMillan Road, Boise, ID 83713
Located near the intersection of McMillan and Cloverdale Roads.
High School Diploma or equivalent required at hire.
MA certification required within 90 days of hire from one of the following Saint Alphonsus approved agencies:
American Association of Medical Assistants (CMA)
American Medical Technologists (RMA)
National Healthcare Association (CCMA)
National Center for Competency Testing (NCMA)
National Association of Health Professionals (NRCMA)
American Medical Certification Association (CMAC)
National Phlebotomy Certification Examination (NPCE MA)
New Graduates: 1) MA certificate of completion required from an accredited program or school. 2) Completion of either a 100-hour MA externship or 6 months MA experience in lieu of the externship hours even with MA certification.
Medical Assistant with Experience: 1 Year of MA experience OR Current MA Certification OR obtain or renew certification within 90 days from hire from approved credentialing agencies listed above.
Basic Life Support for Healthcare providers certification from either AHA, ARC or the Military Training Network is required at hire.
*Obtaining the MA certification typically requires completing an MA Program or working as a Medical Assistant for at least 1 year. See each of the credentialing organization sites for additional details. EMT and CNA certifications will not count towards an MA certification.
When Saint Alphonsus takes care of you, you can take better care of our patients. We foster personal and professional growth and offer opportunities that empower our colleagues to develop their careers. Our belief in work-life balance compliments the natural beauty, diverse landscapes, and outdoor recreation lifestyle that is unique to Idaho and Oregon.
We offer market-competitive pay, generous PTO, and multiple options for comprehensive benefits that begin on day one.
Benefits for your future include retirement planning and matching, college savings plans for your family, and multiple life insurance plans that can change as your needs develop.
We are proud to offer Employee Assistance Programs, tuition reimbursement, and educational opportunities to help you learn and grow.
Visit to learn more!
Saint Alphonsus Facility Information:Saint Alphonsus Health System is a faith-based ministry and not-for-profit health system serving Idaho, Oregon, and northern Nevada communities. The health system boasts 4 hospitals, 609 licensed beds, and 73 clinic locations. Through innovative technologies, compassionate staff, and healing environments, Saint Alphonsus' goal is to improve the health and well-being of people by emphasizing care that is patient-centered, physician-led, innovative, and community-based.
Forbes America's Best Large Employer 2025;
Forbes America's Best Employers for Healthcare Professionals 2025;
Top 15 Health Systems in the country by IBM Watson Health;
The region’s most advanced Trauma Center (Level II);
Commission on Cancer Accredited Program through demonstrating an uncompromising commitment to improving patient survival and quality of life.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Apply today and ask about our Sign on Bonus of up to $20,000 and Relocation Bonus!
- 0-1 years of experience: $10,000
- 1-3 years of experience: $15,000
- 3+ years of experience: $20,000
POSITION PURPOSE
Provides and directs safe, effective, and culturally competent care for patients with acute medical and surgical conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement, and evaluate outcome-based care. The Acute Care RN manages a diverse patient population with varying levels of acuity, including post-operative, medical, telemetry, and neurologic patients. Supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members. Facilitates communication with physicians, patients and families, and interdisciplinary team members. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.
ESSENTIAL FUNCTIONS
1. Conducts an initial assessment to gather data.
- Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.
- Completes all areas of the admission assessment database within 24 hours of admission.
2. Identifies patient problems and develops them into an outcome/goal-based plan of care.
- Initiates the patient problem list and incorporates relevant medical history into the plan of care.
- Analyzes and interprets the assessment data to identify desired patient outcomes/goals.
- Determines nursing interventions to achieve those outcomes/goals.
- Prioritizes patient care needs/ activities.
- Identifies and makes appropriate referrals (i.e., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, etc.), and education needs.
- Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals.
3. Implements the outcome/goal- based plan of care.
- Assigns and coordinates patient care incorporating patient acuity and the skills, knowledge and abilities of the team members.
- Organizes and prioritizes care for the patients within the team.
- Delegates tasks appropriately to other team members.
- Implements the plan of care including procedures, treatments, physicians orders, nursing orders, education plan and medications.
- Coordinates implementation of plan of care with the Case Manager, Social Worker and other health care disciplines.
- Assists to decrease the patient’s length of stay by helping the patient and family identify and secure appropriate services to satisfy health-related needs upon discharge.
- Uses nursing judgment to determine the appropriate frequency and components of reassessment.
- Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours).
- Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs.
- Participates in develop discharge plan.
- Documents discharge instructions for patient and/or significant other and/or other care provider.
4. Evaluates patient progress and revises the outcome/goal-based plan as needed.
- Evaluates patient response(s) to interventions.
- Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.
- Updates the problem list and outcomes/goals.
5. Communicates relevant clinical information to the team to optimize patient outcomes/goals.
- Communicates relevant clinical information to physicians regarding the patient’s condition.
- Reports progress toward outcomes/goals and/or changes in condition to other health team members.
- Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care.
- Communicates with other team leaders and members throughout the shift to reassess and prioritize the needs of the unit.
- Documents completely, comprehensively and legibly and in accordance with policy.
6. Demonstrates clinical competence.
- Utilizes Patient Care Policies and Procedure as references to guide nursing practice.
- Assures medication safety by following the “5 Rights” of medication administration.
- Prioritizes and implements intervention according to patient assessment.
- Demonstrates competency in computer systems and applications required for role.
- Receives, transcribes and processes and implements physician orders per policy including dating, timing and verifying accuracy.
- Maintains communication with the manager/house supervisor and staffing office regarding admissions, unit needs, acuity numbers and significant events.
- Completes assigned shift duties and assures resolution of discrepancies.
7. Manages telemetry and cardiac monitoring when applicable.
- Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
- Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
- Must be capable of managing multiple patients requiring continuous cardiac monitoring.
- Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
- May be required to assist with data collection and quality improvement initiatives.
- Must be willing to serve as a resource to other hospital services (nursing, pharmacy, laboratory, radiology, respiratory, etc.).
- May be asked to participate in unit-based committees and provide education to nursing staff as requested.
8. Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.
9. Collects, analyzes, interprets and applies age-specific data.
- Performs tasks/procedures, uses equipment in an age-appropriate manner.
- Communicates and works with others in an age-appropriate manner.
10. Adheres to all safety, infection control and colleague health policies and procedures.
- Attends required safety programs.
- Appropriately and consistently uses the personal protective equipment required of the job.
- Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations.
- Reports and removes unsafe equipment/furniture.
- Asks for assistance when needed to assure safety for all involved.
- Maintains a safe working environment and practices safe working habits.
11. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Core Values:
- Reverence: We honor the sacredness and dignity of every person.
- Commitment to Those who are Poor: We stand with and serve those who are poor, especially those most vulnerable.
- Safety: We embrace a culture that prevents harm and nurtures a healing, safe environment for all.
- Justice: We foster right relationships to promote the common good, including sustainability of Earth.
- Stewardship: We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.
- Integrity: We are faithful to those we say we are.
MINIMUM QUALIFICATIONS
- Associate degree in nursing required
- Bachelor of Science in Nursing (BSN) preferred.
- Current Iowa RN license, (current Illinois (IL) license if working in IL) required.
- American Heart Association Basic Life Support (BLS) required.
- American Heart Association Advanced Cardiac Life Support (ACLS) required only if the unit has telemetry monitoring capabilities.
- Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.
- High language, intermediate to high math, high critical thinking ability. Basic computer skills required.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
1. Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of narcotics. In patient care areas, may perform or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease, or possibility of injury from irrational or confused patients and visitors or from instruments or equipment.
2. Lift/Carry; Push/Pull 76-100% of the time, avg 50-100 lbs.
3. Stand; Walk/Move About 76-100% of the time
4. Must possess the ability to comply with Trinity Health policies and procedures.
The most significant duties have been included in this description. Other duties may be assigned as necessary. The facility reserves the right to modify this job description as needed to accurately reflect the duties assigned.
Apply today and ask about our Sign on Bonus of up to $20,000 and Relocation Bonus!
- 0-1 years of experience: $10,000
- 1-3 years of experience: $15,000
- 3+ years of experience: $20,000
POSITION PURPOSE
Provides and directs safe, effective, and culturally competent care for patients with acute medical and surgical conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement, and evaluate outcome-based care. The Acute Care RN manages a diverse patient population with varying levels of acuity, including post-operative, medical, telemetry, and neurologic patients. Supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members. Facilitates communication with physicians, patients and families, and interdisciplinary team members. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.
ESSENTIAL FUNCTIONS
1. Conducts an initial assessment to gather data.
- Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.
- Completes all areas of the admission assessment database within 24 hours of admission.
2. Identifies patient problems and develops them into an outcome/goal-based plan of care.
- Initiates the patient problem list and incorporates relevant medical history into the plan of care.
- Analyzes and interprets the assessment data to identify desired patient outcomes/goals.
- Determines nursing interventions to achieve those outcomes/goals.
- Prioritizes patient care needs/ activities.
- Identifies and makes appropriate referrals (i.e., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, etc.), and education needs.
- Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals.
3. Implements the outcome/goal- based plan of care.
- Assigns and coordinates patient care incorporating patient acuity and the skills, knowledge and abilities of the team members.
- Organizes and prioritizes care for the patients within the team.
- Delegates tasks appropriately to other team members.
- Implements the plan of care including procedures, treatments, physicians orders, nursing orders, education plan and medications.
- Coordinates implementation of plan of care with the Case Manager, Social Worker and other health care disciplines.
- Assists to decrease the patient’s length of stay by helping the patient and family identify and secure appropriate services to satisfy health-related needs upon discharge.
- Uses nursing judgment to determine the appropriate frequency and components of reassessment.
- Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours).
- Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs.
- Participates in develop discharge plan.
- Documents discharge instructions for patient and/or significant other and/or other care provider.
4. Evaluates patient progress and revises the outcome/goal-based plan as needed.
- Evaluates patient response(s) to interventions.
- Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.
- Updates the problem list and outcomes/goals.
5. Communicates relevant clinical information to the team to optimize patient outcomes/goals.
- Communicates relevant clinical information to physicians regarding the patient’s condition.
- Reports progress toward outcomes/goals and/or changes in condition to other health team members.
- Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care.
- Communicates with other team leaders and members throughout the shift to reassess and prioritize the needs of the unit.
- Documents completely, comprehensively and legibly and in accordance with policy.
6. Demonstrates clinical competence.
- Utilizes Patient Care Policies and Procedure as references to guide nursing practice.
- Assures medication safety by following the “5 Rights” of medication administration.
- Prioritizes and implements intervention according to patient assessment.
- Demonstrates competency in computer systems and applications required for role.
- Receives, transcribes and processes and implements physician orders per policy including dating, timing and verifying accuracy.
- Maintains communication with the manager/house supervisor and staffing office regarding admissions, unit needs, acuity numbers and significant events.
- Completes assigned shift duties and assures resolution of discrepancies.
7. Manages telemetry and cardiac monitoring when applicable.
- Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
- Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
- Must be capable of managing multiple patients requiring continuous cardiac monitoring.
- Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
- May be required to assist with data collection and quality improvement initiatives.
- Must be willing to serve as a resource to other hospital services (nursing, pharmacy, laboratory, radiology, respiratory, etc.).
- May be asked to participate in unit-based committees and provide education to nursing staff as requested.
8. Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.
9. Collects, analyzes, interprets and applies age-specific data.
- Performs tasks/procedures, uses equipment in an age-appropriate manner.
- Communicates and works with others in an age-appropriate manner.
10. Adheres to all safety, infection control and colleague health policies and procedures.
- Attends required safety programs.
- Appropriately and consistently uses the personal protective equipment required of the job.
- Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations.
- Reports and removes unsafe equipment/furniture.
- Asks for assistance when needed to assure safety for all involved.
- Maintains a safe working environment and practices safe working habits.
11. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Core Values:
- Reverence: We honor the sacredness and dignity of every person.
- Commitment to Those who are Poor: We stand with and serve those who are poor, especially those most vulnerable.
- Safety: We embrace a culture that prevents harm and nurtures a healing, safe environment for all.
- Justice: We foster right relationships to promote the common good, including sustainability of Earth.
- Stewardship: We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.
- Integrity: We are faithful to those we say we are.
MINIMUM QUALIFICATIONS
- Associate degree in nursing required
- Bachelor of Science in Nursing (BSN) preferred.
- Current Iowa RN license, (current Illinois (IL) license if working in IL) required.
- American Heart Association Basic Life Support (BLS) required.
- American Heart Association Advanced Cardiac Life Support (ACLS) required only if the unit has telemetry monitoring capabilities.
- Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.
- High language, intermediate to high math, high critical thinking ability. Basic computer skills required.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
1. Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of narcotics. In patient care areas, may perform or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease, or possibility of injury from irrational or confused patients and visitors or from instruments or equipment.
2. Lift/Carry; Push/Pull 76-100% of the time, avg 50-100 lbs.
3. Stand; Walk/Move About 76-100% of the time
4. Must possess the ability to comply with Trinity Health policies and procedures.
The most significant duties have been included in this description. Other duties may be assigned as necessary. The facility reserves the right to modify this job description as needed to accurately reflect the duties assigned.
** New RN Rate **
Employment Type:
Part Time - 24 hours per week (Days)
Shift Schedule:
RN Night Shift (7PM - 7 AM)
Position Highlights and Benefits
Relocation incentive eligible
Generous Night Shift and Weekend Shift Differential (when applicable)
Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Essential Functions:Assessment & Planning: Performs initial and ongoing patient assessments; develops individualized, outcome-based plans of care.
Care Implementation: Coordinates and delivers patient care, delegating tasks appropriately and collaborating with interdisciplinary teams.
Evaluation & Documentation: Regularly reassesses patients, updates care plans, and documents thoroughly.
Communication: Effectively communicates patient status and care needs across teams and during shift transitions.
Clinical Competence: Follows protocols, administers medications safely, and demonstrates proficiency in required systems and procedures.
ECMO Management (if applicable): Provides advanced care to ECMO patients, including circuit management, data documentation, and technical education.
Age-Appropriate Care: Delivers care based on developmental stages and patient-specific age needs.
Safety & Compliance: Follows infection control, safety procedures, and regulatory standards.
Professional Integrity: Adheres to legal, ethical, and organizational policies and participates in continuous professional development.
1. Associate degree required, BSN preferred.
2. No experience required; critical care nursing experience preferred.
3. Current Iowa RN license, (current IL license if working in IL).
4. BLS, Mandatory Reporter.
5. ACLS within 12 months of hire.
6. Cardiac monitoring course and/or select units of advance Nursing / Critical Care Course or comparable training
7. TNCC
8. Non-Violent Crisis Intervention Training (NVCI) within 6 months of hire
9. High language, intermediate to high math, high critical thinking ability.
8. Basic computer skills required.
9. Ability to work with diverse groups of people.
10. Ability to work under pressure and with a large degree of independence and accountability.
11. Ability to lead/direct others in a high stress situation/environment.
12. If caring for ECMO patients:
Attend and satisfy all the requirements of a formal course of study that is based upon the guidelines and recommendations set forth by the Extracorporeal Life Support Organization (ELSO), designed by the ECLS Program Coordinator, and approved by the ECLS Program Medical Director.
Complete (72) hours of supervised ECLS case management experience
First (36) hours obtained with a qualified preceptor at the pump
Remaining (36) hours obtained as the primary pump specialist with a veteran specialist as the patient’s bedside RN
Satisfactorily participate in an introductory (8) hour ECLS competency simulation workshop verified by the ECLS Coordinator and ECLS Medical Director.
Satisfy annual requirements to maintain status as an ECLS specialist.
Provides and directs safe, effective and culturally competent care for high risk, critically acute patients with actual or potential life-threatening conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement and evaluate outcome-based care of patients. Provides care to critically ill patients including cardiovascular and surgical patients. May assume responsibilities and accountability for assigned ECMO patients. Supervises and coordinates care provided to patients by the LPN, Patient Care Assistants and other nursing team members. Facilitates communication with physicians, patient and family, other departments and/or team members. Adheres to MercyOne's performance expectations and performs all defined services and other related duties in accordance with the Mission, Vision and Values of MercyOne.
Waterloo, IA
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
** New RN Rate **
Employment Type:
Part Time - 24 hours per week (Days)
Shift Schedule:
RN Night Shift (7PM - 7 AM)
Position Highlights and Benefits
Relocation incentive eligible
Generous Night Shift and Weekend Shift Differential (when applicable)
Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Essential Functions:Assessment & Planning: Performs initial and ongoing patient assessments; develops individualized, outcome-based plans of care.
Care Implementation: Coordinates and delivers patient care, delegating tasks appropriately and collaborating with interdisciplinary teams.
Evaluation & Documentation: Regularly reassesses patients, updates care plans, and documents thoroughly.
Communication: Effectively communicates patient status and care needs across teams and during shift transitions.
Clinical Competence: Follows protocols, administers medications safely, and demonstrates proficiency in required systems and procedures.
ECMO Management (if applicable): Provides advanced care to ECMO patients, including circuit management, data documentation, and technical education.
Age-Appropriate Care: Delivers care based on developmental stages and patient-specific age needs.
Safety & Compliance: Follows infection control, safety procedures, and regulatory standards.
Professional Integrity: Adheres to legal, ethical, and organizational policies and participates in continuous professional development.
1. Associate degree required, BSN preferred.
2. No experience required; critical care nursing experience preferred.
3. Current Iowa RN license, (current IL license if working in IL).
4. BLS, Mandatory Reporter.
5. ACLS within 12 months of hire.
6. Cardiac monitoring course and/or select units of advance Nursing / Critical Care Course or comparable training
7. TNCC
8. Non-Violent Crisis Intervention Training (NVCI) within 6 months of hire
9. High language, intermediate to high math, high critical thinking ability.
8. Basic computer skills required.
9. Ability to work with diverse groups of people.
10. Ability to work under pressure and with a large degree of independence and accountability.
11. Ability to lead/direct others in a high stress situation/environment.
12. If caring for ECMO patients:
Attend and satisfy all the requirements of a formal course of study that is based upon the guidelines and recommendations set forth by the Extracorporeal Life Support Organization (ELSO), designed by the ECLS Program Coordinator, and approved by the ECLS Program Medical Director.
Complete (72) hours of supervised ECLS case management experience
First (36) hours obtained with a qualified preceptor at the pump
Remaining (36) hours obtained as the primary pump specialist with a veteran specialist as the patient’s bedside RN
Satisfactorily participate in an introductory (8) hour ECLS competency simulation workshop verified by the ECLS Coordinator and ECLS Medical Director.
Satisfy annual requirements to maintain status as an ECLS specialist.
Provides and directs safe, effective and culturally competent care for high risk, critically acute patients with actual or potential life-threatening conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement and evaluate outcome-based care of patients. Provides care to critically ill patients including cardiovascular and surgical patients. May assume responsibilities and accountability for assigned ECMO patients. Supervises and coordinates care provided to patients by the LPN, Patient Care Assistants and other nursing team members. Facilitates communication with physicians, patient and family, other departments and/or team members. Adheres to MercyOne's performance expectations and performs all defined services and other related duties in accordance with the Mission, Vision and Values of MercyOne.
Waterloo, IA
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Apply today and ask about our Sign on Bonus of up to $20,000 and Relocation Bonus!
- 0-1 years of experience: $10,000
- 1-3 years of experience: $15,000
- 3+ years of experience: $20,000
POSITION PURPOSE
Provides and directs safe, effective, and culturally competent care for patients with acute medical and surgical conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement, and evaluate outcome-based care. The Acute Care RN manages a diverse patient population with varying levels of acuity, including post-operative, medical, telemetry, and neurologic patients. Supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members. Facilitates communication with physicians, patients and families, and interdisciplinary team members. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.
ESSENTIAL FUNCTIONS
1. Conducts an initial assessment to gather data.
- Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.
- Completes all areas of the admission assessment database within 24 hours of admission.
2. Identifies patient problems and develops them into an outcome/goal-based plan of care.
- Initiates the patient problem list and incorporates relevant medical history into the plan of care.
- Analyzes and interprets the assessment data to identify desired patient outcomes/goals.
- Determines nursing interventions to achieve those outcomes/goals.
- Prioritizes patient care needs/ activities.
- Identifies and makes appropriate referrals (i.e., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, etc.), and education needs.
- Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals.
3. Implements the outcome/goal- based plan of care.
- Assigns and coordinates patient care incorporating patient acuity and the skills, knowledge and abilities of the team members.
- Organizes and prioritizes care for the patients within the team.
- Delegates tasks appropriately to other team members.
- Implements the plan of care including procedures, treatments, physicians orders, nursing orders, education plan and medications.
- Coordinates implementation of plan of care with the Case Manager, Social Worker and other health care disciplines.
- Assists to decrease the patient’s length of stay by helping the patient and family identify and secure appropriate services to satisfy health-related needs upon discharge.
- Uses nursing judgment to determine the appropriate frequency and components of reassessment.
- Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours).
- Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs.
- Participates in develop discharge plan.
- Documents discharge instructions for patient and/or significant other and/or other care provider.
4. Evaluates patient progress and revises the outcome/goal-based plan as needed.
- Evaluates patient response(s) to interventions.
- Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.
- Updates the problem list and outcomes/goals.
5. Communicates relevant clinical information to the team to optimize patient outcomes/goals.
- Communicates relevant clinical information to physicians regarding the patient’s condition.
- Reports progress toward outcomes/goals and/or changes in condition to other health team members.
- Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care.
- Communicates with other team leaders and members throughout the shift to reassess and prioritize the needs of the unit.
- Documents completely, comprehensively and legibly and in accordance with policy.
6. Demonstrates clinical competence.
- Utilizes Patient Care Policies and Procedure as references to guide nursing practice.
- Assures medication safety by following the “5 Rights” of medication administration.
- Prioritizes and implements intervention according to patient assessment.
- Demonstrates competency in computer systems and applications required for role.
- Receives, transcribes and processes and implements physician orders per policy including dating, timing and verifying accuracy.
- Maintains communication with the manager/house supervisor and staffing office regarding admissions, unit needs, acuity numbers and significant events.
- Completes assigned shift duties and assures resolution of discrepancies.
7. Manages telemetry and cardiac monitoring when applicable.
- Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
- Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
- Must be capable of managing multiple patients requiring continuous cardiac monitoring.
- Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
- May be required to assist with data collection and quality improvement initiatives.
- Must be willing to serve as a resource to other hospital services (nursing, pharmacy, laboratory, radiology, respiratory, etc.).
- May be asked to participate in unit-based committees and provide education to nursing staff as requested.
8. Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.
9. Collects, analyzes, interprets and applies age-specific data.
- Performs tasks/procedures, uses equipment in an age-appropriate manner.
- Communicates and works with others in an age-appropriate manner.
10. Adheres to all safety, infection control and colleague health policies and procedures.
- Attends required safety programs.
- Appropriately and consistently uses the personal protective equipment required of the job.
- Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations.
- Reports and removes unsafe equipment/furniture.
- Asks for assistance when needed to assure safety for all involved.
- Maintains a safe working environment and practices safe working habits.
11. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Core Values:
- Reverence: We honor the sacredness and dignity of every person.
- Commitment to Those who are Poor: We stand with and serve those who are poor, especially those most vulnerable.
- Safety: We embrace a culture that prevents harm and nurtures a healing, safe environment for all.
- Justice: We foster right relationships to promote the common good, including sustainability of Earth.
- Stewardship: We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.
- Integrity: We are faithful to those we say we are.
MINIMUM QUALIFICATIONS
- Associate degree in nursing required
- Bachelor of Science in Nursing (BSN) preferred.
- Current Iowa RN license, (current Illinois (IL) license if working in IL) required.
- American Heart Association Basic Life Support (BLS) required.
- American Heart Association Advanced Cardiac Life Support (ACLS) required only if the unit has telemetry monitoring capabilities.
- Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.
- High language, intermediate to high math, high critical thinking ability. Basic computer skills required.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
1. Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of narcotics. In patient care areas, may perform or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease, or possibility of injury from irrational or confused patients and visitors or from instruments or equipment.
2. Lift/Carry; Push/Pull 76-100% of the time, avg 50-100 lbs.
3. Stand; Walk/Move About 76-100% of the time
4. Must possess the ability to comply with Trinity Health policies and procedures.
The most significant duties have been included in this description. Other duties may be assigned as necessary. The facility reserves the right to modify this job description as needed to accurately reflect the duties assigned.
Our Commitment
** New RN Rate **
Employment Type:
Part-Time - 24 hours per week (Nights)
Shift Schedule:
RN Night Shift (7PM - 7 AM)
Position Highlights and Benefits
Relocation incentive eligible
Generous Night Shift and Weekend Shift Differential (when applicable)
Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Essential Functions:Assessment & Planning: Performs initial and ongoing patient assessments; develops individualized, outcome-based plans of care.
Care Implementation: Coordinates and delivers patient care, delegating tasks appropriately and collaborating with interdisciplinary teams.
Evaluation & Documentation: Regularly reassesses patients, updates care plans, and documents thoroughly.
Communication: Effectively communicates patient status and care needs across teams and during shift transitions.
Clinical Competence: Follows protocols, administers medications safely, and demonstrates proficiency in required systems and procedures.
ECMO Management (if applicable): Provides advanced care to ECMO patients, including circuit management, data documentation, and technical education.
Age-Appropriate Care: Delivers care based on developmental stages and patient-specific age needs.
Safety & Compliance: Follows infection control, safety procedures, and regulatory standards.
Professional Integrity: Adheres to legal, ethical, and organizational policies and participates in continuous professional development.
1. Associate degree required, BSN preferred.
2. No experience required; critical care nursing experience preferred.
3. Current Iowa RN license, (current IL license if working in IL).
4. BLS, Mandatory Reporter.
5. ACLS within 12 months of hire.
6. Cardiac monitoring course and/or select units of advance Nursing / Critical Care Course or comparable training
7. TNCC
8. Non-Violent Crisis Intervention Training (NVCI) within 6 months of hire
9. High language, intermediate to high math, high critical thinking ability.
8. Basic computer skills required.
9. Ability to work with diverse groups of people.
10. Ability to work under pressure and with a large degree of independence and accountability.
11. Ability to lead/direct others in a high stress situation/environment.
12. If caring for ECMO patients:
Attend and satisfy all the requirements of a formal course of study that is based upon the guidelines and recommendations set forth by the Extracorporeal Life Support Organization (ELSO), designed by the ECLS Program Coordinator, and approved by the ECLS Program Medical Director.
Complete (72) hours of supervised ECLS case management experience
First (36) hours obtained with a qualified preceptor at the pump
Remaining (36) hours obtained as the primary pump specialist with a veteran specialist as the patient’s bedside RN
Satisfactorily participate in an introductory (8) hour ECLS competency simulation workshop verified by the ECLS Coordinator and ECLS Medical Director.
Satisfy annual requirements to maintain status as an ECLS specialist.
Provides and directs safe, effective and culturally competent care for high risk, critically acute patients with actual or potential life-threatening conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement and evaluate outcome-based care of patients. Provides care to critically ill patients including cardiovascular and surgical patients. May assume responsibilities and accountability for assigned ECMO patients. Supervises and coordinates care provided to patients by the LPN, Patient Care Assistants and other nursing team members. Facilitates communication with physicians, patient and family, other departments and/or team members. Adheres to MercyOne's performance expectations and performs all defined services and other related duties in accordance with the Mission, Vision and Values of MercyOne.
Waterloo, IA
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Work Shift
Day (United States of America)
Job Summary:
Nursing Assistant - Care Partner - Acute Care Medical Telemetry - Full-Time Day Shift
The Care Partner is a support care provider who functions under the direction of the Registered Nurse. The Care Partner primary focus will be to promote a positive patient experience by partnering with the nurse, physician, healthcare team and other healthcare providers to provide excellence in patient experience; and assist with daily living activities and comfort measures. The Care Partner assists other health care providers with safe, age appropriate and culturally aware care by performing basic patient care functions; i.e. ADL's, ambulation, and vital signs.
The Care Partner may require approved advanced technical training skills may be required i.e. phlebotomy, simple treatments, dressing changes, oral suctioning, and discontinuing Foley catheters. Performing additional advanced skills may be required to support clinical care and will fluctuate depending on the needs of the unit. Performing clerical functions such as: retrieval of data, maintaining unit supplies, and transporting supplies/patient medications will be required. The Care Partner must be able to work in a fast-paced environment which requires multi-tasking and effective communication with the Registered Nurse and ancillary team. Must be able to perform under stressful conditions with a compassionate, respectful and service mindset. Must be able to take direction from a variety of care providers. Must be organized with excellent communication skills.
Core Responsibilities and Essential Functions:
Excellence in Patient Experience by partnering with health care team, patient and family. Patient Centered Care-Clinical Practice: Supports an environment of healing or wellness for patients which includes: addressing patient needs, following the plan of care as assigned or instructed by a licensed professional; and while carrying out role responsibilities, engages the patient and family in compliance with the treatment plan. Effectively contributes to the plan of care or treatment based on assigned tasks and patient/family input in collaboration with the healthcare team with a focus on the care continuum. Consistently implements all safety interventions to minimize risk in achievement of intended outcomes.
Protects rights and dignity of patient.
Maintains confidentiality adhering to HIPAA regulations and recommended privacy procedures.
Participates in hourly patient rounding.
Answers telephone and call lights promptly, professionally and notifies appropriate individual of need for follow-up.
Resolves patient concerns or escalates to the charge nurse if unable to resolve patient concerns.
Proactively offers assistance and comfort measures to patients and families.
Present self in positive and professional manner and show sensitivity to concerns and needs of others.
Patient Centered Care
Provides patient care under the direction of the RN.
Provides patient care needs (ex. hygiene, nutrition, elimination, physical comfort measures) and additional advanced skills based on unit specific requirements (ex. phlebotomy, EKG, removal of foley catheters and removal of IVs).
Answers telephone and call lights promptly, professionally and notifies appropriate individual of need for follow-up.
Assist RN and other members of health care team with care delivery as assigned.
Assist in direct patient admission.
Monitors data entry for key patient safety information.
Participates in charge reconciliation.
Performs audits as requested.
Teamwork
Supports initiatives of the Health care team.
Participates in unit performance improvement initiatives.
Supports professional nursing practice through shared leadership, evidenced-based practice and ethical accountability.
Transports unit supplies, patient care supplies, medications and equipment as assigned.
Practices accountability.
Communication
Uses effective written and oral communication skills with patients, staff, physicians, family and visitors, i.e. AIDET (Acknowledge, Introduce, Duration, Explain, Thank you).
Uses safety communication techniques, i.e. Ask a question, Request a change, Voice a concern, Use chain of command when necessary (ARRC).
Communicates completion of assignment/duties to RN or Charge Nurse.
Documents completion of patient care in EMR (Electronic Medical Record).
Communicates patient care concerns/problems/emergencies to the RN or Charge Nurse in a timely manner. Real time communication is required.
Uses positive and respectful communication with all members of healthcare team, patients and families.
Maintains equipment i.e. blood pressure machines, glucometers, and other patient care equipment. When devices are not properly working sequester, tag, and report to appropriate personnel.
Communicates with patient and updates white boards with information.
Knowledgeable, maintains, and acts as unit expert regarding patient care documentation tools related to their role in the event of downtime.
Safety and Infection Control
Provides a safe environment for the provision of patient care.
Consistent use of proper hand hygiene.
Keeps patient rooms and unit areas clean and free of clutter.
Follows appropriate PPE/Infection control policies in between patient care and equipment usage.
Reinforces the importance of universal precautions with patient and patients family.
Utilizes proper body mechanics, patient safe handling devices (i.e. lifts, transfer equipment, etc.), and additional assistive devices (i.e. walkers, gait belts).
Performs environment of care rounds.
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.
Required Minimum Education:
- Rising Senior in Good Standing Other or High School Diploma General-Preferred or GED General-Preferred
Required Minimum License(s) and Certification(s):
All certifications are required upon hire unless otherwise stated.
- BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor
Additional License(s) and Certification(s):
Graduation from a State approved program for Certified Nursing Assistants or Patient Care Tech Program Upon Hire Preferred
Required Minimum Experience:
N/A
Required Minimum Skills:
Ability to follow detailed directions.
Strong interpersonal skills.
Clear verbal and written communication, specifically ability to document.
Ability to work individually and as part of a team.
Wellstar minimum age of hire is 16.
Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
** New ICU RN Rate **
Employment Type:
Full Time - 36 hours per week
Shift Schedule:
Day Shift (7 AM - 7 PM)
Position Highlights and Benefits
Relocation incentive eligible
Eligible for a generous Weekend Shift Differential
Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Essential Functions:Assessment & Planning: Performs initial and ongoing patient assessments; develops individualized, outcome-based plans of care.
Care Implementation: Coordinates and delivers patient care, delegating tasks appropriately and collaborating with interdisciplinary teams.
Evaluation & Documentation: Regularly reassesses patients, updates care plans, and documents thoroughly.
Communication: Effectively communicates patient status and care needs across teams and during shift transitions.
Clinical Competence: Follows protocols, administers medications safely, and demonstrates proficiency in required systems and procedures.
ECMO Management (if applicable): Provides advanced care to ECMO patients, including circuit management, data documentation, and technical education.
Age-Appropriate Care: Delivers care based on developmental stages and patient-specific age needs.
Safety & Compliance: Follows infection control, safety procedures, and regulatory standards.
Professional Integrity: Adheres to legal, ethical, and organizational policies and participates in continuous professional development.
1. Associate degree required, BSN preferred.
2. 2 Years of RN experience required for Day Shift; critical care nursing experience preferred.
3. Current Iowa RN license, (current IL license if working in IL).
4. BLS, Mandatory Reporter.
5. ACLS within 12 months of hire.
6. Cardiac monitoring course and/or select units of advance Nursing / Critical Care Course or comparable training
7. Non-Violent Crisis Intervention Training (NVCI) within 6 months of hire
8. Basic computer skills required.
9. Ability to work with diverse groups of people.
10. Ability to work under pressure and with a large degree of independence and accountability.
11. Ability to lead/direct others in a high stress situation/environment.
12. If caring for ECLS patients as a Specialist:
Attend and satisfy all the requirements of a formal course of study that is based upon the guidelines and recommendations set forth by the Extracorporeal Life Support Organization (ELSO), designed by the ECLS Program Coordinator, and approved by the ECLS Program Medical Director.
Complete (72) hours of supervised ECLS case management experience
First (36) hours obtained with a qualified preceptor at the pump
Remaining (36) hours obtained as the primary pump specialist with a veteran specialist as the patient’s bedside RN
Satisfactorily participate in an introductory (8) hour ECLS competency simulation workshop verified by the ECLS Coordinator and ECLS Medical Director.
Satisfy annual requirements to maintain status as an ECLS specialist.
Provides and directs safe, effective and culturally competent care for high risk, critically acute patients with actual or potential life-threatening conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement and evaluate outcome-based care of patients. Provides care to critically ill patients including cardiovascular and surgical patients. May assume responsibilities and accountability for assigned ECMO patients. Supervises and coordinates care provided to patients by the LPN, Patient Care Assistants and other nursing team members. Facilitates communication with physicians, patient and family, other departments and/or team members. Adheres to MercyOne's performance expectations and performs all defined services and other related duties in accordance with the Mission, Vision and Values of MercyOne.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
** New RN Rate **
Employment Type:
Full Time - 36 hours per week (Nights)
Shift Schedule:
RN Night Shift (7PM - 7 AM)
Position Highlights and Benefits
Relocation incentive eligible
Generous Night Shift and Weekend Shift Differential (when applicable)
Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Essential Functions:Assessment & Planning: Performs initial and ongoing patient assessments; develops individualized, outcome-based plans of care.
Care Implementation: Coordinates and delivers patient care, delegating tasks appropriately and collaborating with interdisciplinary teams.
Evaluation & Documentation: Regularly reassesses patients, updates care plans, and documents thoroughly.
Communication: Effectively communicates patient status and care needs across teams and during shift transitions.
Clinical Competence: Follows protocols, administers medications safely, and demonstrates proficiency in required systems and procedures.
ECMO Management (if applicable): Provides advanced care to ECMO patients, including circuit management, data documentation, and technical education.
Age-Appropriate Care: Delivers care based on developmental stages and patient-specific age needs.
Safety & Compliance: Follows infection control, safety procedures, and regulatory standards.
Professional Integrity: Adheres to legal, ethical, and organizational policies and participates in continuous professional development.
1. Associate degree required, BSN preferred.
2. No experience required; critical care nursing experience preferred.
3. Current Iowa RN license, (current IL license if working in IL).
4. BLS, Mandatory Reporter.
5. ACLS within 12 months of hire.
6. Cardiac monitoring course and/or select units of advance Nursing / Critical Care Course or comparable training
7. TNCC
8. Non-Violent Crisis Intervention Training (NVCI) within 6 months of hire
9. High language, intermediate to high math, high critical thinking ability.
8. Basic computer skills required.
9. Ability to work with diverse groups of people.
10. Ability to work under pressure and with a large degree of independence and accountability.
11. Ability to lead/direct others in a high stress situation/environment.
12. If caring for ECMO patients:
Attend and satisfy all the requirements of a formal course of study that is based upon the guidelines and recommendations set forth by the Extracorporeal Life Support Organization (ELSO), designed by the ECLS Program Coordinator, and approved by the ECLS Program Medical Director.
Complete (72) hours of supervised ECLS case management experience
First (36) hours obtained with a qualified preceptor at the pump
Remaining (36) hours obtained as the primary pump specialist with a veteran specialist as the patient’s bedside RN
Satisfactorily participate in an introductory (8) hour ECLS competency simulation workshop verified by the ECLS Coordinator and ECLS Medical Director.
Satisfy annual requirements to maintain status as an ECLS specialist.
Provides and directs safe, effective and culturally competent care for high risk, critically acute patients with actual or potential life-threatening conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement and evaluate outcome-based care of patients. Provides care to critically ill patients including cardiovascular and surgical patients. May assume responsibilities and accountability for assigned ECMO patients. Supervises and coordinates care provided to patients by the LPN, Patient Care Assistants and other nursing team members. Facilitates communication with physicians, patient and family, other departments and/or team members. Adheres to MercyOne's performance expectations and performs all defined services and other related duties in accordance with the Mission, Vision and Values of MercyOne.
Waterloo, IA
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
