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Summary:
The competent Nurse, in the Medsurg or Telemetry clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, in accordance with patient treatment 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.
*This is a PREMIUM PAY position.*
Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Meets expectations for flexibility of assignment within the ministry.
Proactively provide assignment availability on a regular basis.
Able to be assigned to more than one unit.
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.
CORE COMPETENCIES
Standard I: Utilizes the Nursing Process
Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families.
Communicates findings to appropriate healthcare team members.
Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice.
Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals.
Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s).
Performs timely reassessment and documentation.
Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population.
Standard II. Patient Throughput & Patient Flow Process
Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow.
Utilizes appropriate systems of communication and tools to facilitate the discharge process.
Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy.
Standard III. Unit Operations
Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift.
Demonstrates good stewardship in proper use and maintenance of equipment and Supplies.
Assesses departmental staffing needs; actively participates in resourcing efforts.
Educates and trains others on the operations, ethics, and regulations within the industry.
Standard IV. Safe Practice/Quality Care/Regulations
Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes.
Demonstrates accountability for nursing research and quality improvement activities.
Provides evidence-based nursing care.
Communicates patient information effectively across the continuum of care.
Educates and trains others on the operations, ethics, and regulations within the industry.
Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities.
TECHNICAL COMPETENCIES
Clinical Policies and Standards
Follows a specific set of standards and associated clinical procedures.
Analyzes policy and standards documentation and ensures organizational compliance.
Provides feedback for improvement of procedures.
Assists in the development and implementation of specific procedures.
Works with control and monitoring mechanisms, tools and techniques.
Health Information Documentation
Shares experiences with maintaining paper and electronic patient documentation.
Walk through the steps and procedures for receiving, validating and updating patient records.
Describes the flow of information between various stations or units.
Discusses the functions, features and document flow of electronic documentation.
Transcribes verbal orders; explains techniques for ensuring their accuracy.
Explains health information documentation best practices and their rationale across health care practices.
Medical Equipment
Describes experience with basic medical equipment used in own unit or facility.
Uses standard diagnostic tools and techniques to resolves common equipment problems.
Educates patients about the appropriate use of home medical equipment.
Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety.
Inspects, troubleshoots and evaluates incoming equipment.
Medical Order Processing
Shares experiences with processing medical orders for one or more groups of patients or conditions.
Describes functions and features of the system used to enter, validate, update and forward medical orders.
Discusses common errors, their sources and procedures for correcting.
Explains considerations for entering and following standing orders.
Differentiates between standing orders and preprinted orders and considerations for each.
Patient Chart Reading and Interpretation
Describes experiences in reading and interpreting patient charts for patients on unit and under own care.
Reviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissions.
Recognizes unexpected readings and alerts nursing or medical staff.
Relates examples of mis-readings or misinterpretations and lessons learned.
Reviews, discusses and validates own interpretation with others.
Patient Safety
Shares experiences with ensuring safety for one or more patient groups or settings.
Explains key features of safety guidelines and procedures for those groups and settings.
Listens and responds to safety inquiries from patients and family members.
Recognizes and addresses physiological and psychological signs of problems.
Describes considerations for patients who can cause to harm to self, versus harm to others.
Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time.
Job Requirements:
Education/Skills
~ Bachelor of Science Degree in Nursing, preferred
Experience
~ Minimum of 2 years of combined experience required in Medsurg and Telemetry
~5 years of experience preferred
Licenses, Registrations, or Certifications
BLS required
ACLS required
RN License in the state of employment or compact required
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
Summary:
This position is responsible for the operation of physician practices usually consisting of more than 4 providers, more than 10 FTEs or more than two sites. The position is responsible for, but not limited to, managing subordinate personnel, preparing clinic(s) budget, ensuring data accuracy, preparing financial analyses, handling complex customer service issues and maintaining provider/staff communications.
Responsibilities:
- Directs, plans and coordinates the daily operation of the assigned practices
- Practices are of moderate to high complexity and / or generally of moderate size
- Manages, supervises and coordinates all functions and activities related to the operations of physician practices, complex management responsibility (i.E.. billing and collecting), and/or special projects, (i.E.. practice start up), as directed by Administration
- Establishes/implements goals, objectives, policies, procedures and systems for the assigned administrative areas and or practices
- Assists with developing and implementing annual operational plan and budget
- Selects, trains, orients and supervises clinic personnel in accordance with established policies and procedures
- Responsible for work assignments and daily operations
- Manages personnel for multiple practices, including training relief employees
- Evaluates performances and recommends merit increases, promotions and disciplinary actions in a timely manner
- Interviews and recommends hiring and termination of staff in accordance with approved policies
- Resolves problems in administrative areas and ensures compliance with regulations and standards
Requirements:
- Bachelor's Degree or equivalent years of experience required
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Summary:
To manage the Respiratory Care, Cardiology-general, Bronchoscopy/PFT Lab, EEG, NCV/EMG, and Rehab Respiratory departments. Plans and implements the policies, procedures, and services for all the above departments. Ensures efficient and effective departmental operations.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.
- Responsible for the oversight of clinical programming in the facility and for ensuring that Services meet the accreditation standards of TJC and are continuously ready for survey.
- Maintains and manages operating targets and capital budgets to meet and exceed financial goals.
- Creates an atmosphere where the organization's operating principles of patient safety and ongoing quality improvement are actively demonstrated; identifies and implements best practices and supports the transfer of such best practices to other organizations within CHRISTUS.
- Recruits, coaches, develops, supports, and leads direct reports to ensure the organization has the right leaders and successors to achieve their goals.
- Participates in the development and implementation of recruitment and retention programs and practices that support a competent and diverse workforce that contributes to the growth and success of the ministry.
- Creates team-based quality improvement plans, including the definition of team goals, utilizing performance measures and appropriate analysis tools, changing, and improving performance through feedback, coaching, and teaching.
- Develops relationships and incorporate input from Medical Staff on a regular basis.
- Coordinates the allocation of staff on a day-to-day basis to ensure the delivery of appropriate service by competent staff as defined by experience, education, and skill.
- Provides for and encourages an environment of self-development and continued learning.
- Additional responsibilities may include participation in space and equipment planning, participation in strategic planning for the department, planning for growth in the non-acute settings, and execution of those plans.
- Acts as a catalyst for change in the organization; responds to change with flexibility and adaptability to overcome organizational resistance and inertia; demonstrates the ability to focus and energize associates to work together for change; gains maximum support for others for new initiatives.
- Supports CHRISTUS Health by assuming any other responsibilities that are mutually agreed upon to ensure the effective functioning of the CHRISTUS Health Ministry.
Job Requirements:
Education/Skills
- See licensure and/or certification requirements.
- Bachelor's Degree Preferred.
Experience
- Minimum 5 years of clinical experience.
- Minimum 2 years of prior leadership experience.
Licenses, Registrations, or Certifications
- RT, RT PERM, RCP, or RCP PERM License in state of employment required.
- Registered Respiratory Therapist (RRT) by NBRC required.
In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
Summary:
The Occupational Therapist has the responsibility and accountability for assessing, planning, evaluating and implementing care for the patients ordered occupational therapy. The Occupational Therapist is responsible for adhering to all standards of Occupational Therapy Practice Act as they apply to providing technical therapy care, supplies, equipment and interventions to a designated patient population.
Responsibilities:
• Responsible for the utilization and supervision of volunteers, students, support staff, and assistants relating to the provision of occupational therapy services
• Responsible for interpretation/implementation of physician orders, provision of safe care to customers, protection of confidential information, professional communication, economic use of time/resources, and creation of a positive work/therapy environment
• Performs other diverse duties as requested
Requirements:
Education/Skills
• Master's Degree
Licenses, Registrations, or Certifications
• OT License in the state of employment
• BLS
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Position Purpose:
Our Physical Therapy Assistants, PTA, provide physical therapy services to Mt. Carmel patients under the guidance and supervision of a Physical Therapist and following a written plan of care established by the physician and physical therapist. Our PTAs assist in assessing our patients need for physical therapy devices and interventions and instructs our patients and their family members in the use and care of therapeutic appliances and devices, such as wheelchairs, braces, etc.
What You Will Do:
- Provide one-to-one care with your patients in their homes
- Enjoy a truly patient-centered focus
- Excel with supportive, motivated colleagues in an inspiring environment
- Flexibility
- Competitive salary
- Career paths and professional development
- Learn the industry's best, easy-to-use, advanced technology
Minimum Qualifications:
- Graduation from a two-year college-level program approved by the American Physical Therapy Association.
- Minimum of six months experience under a qualified Physical Therapist.
- Home health experience preferred.
- Must be able to function in a practice environment with minimal direct supervision, accepting personal responsibility for maintaining a professional relationship with the agencys clients and their families.
- Must accept responsibility for maintaining clinical practice skills learning and adhering to agencys policies and procedures on an on-going basis.
- Ability to consistently demonstrate commitment to the mission and Organizational Code of Ethics, and adhere to the Compliance Program.
Must have current Drivers license and reliable transportation to and from work site.
Position Highlights and Benefits:
- Medical, dental and vision insurance - day one benefits
- Short and long-term disability
- 403b with matching contribution
- Generous paid time off PLUS 7 paid holidays
- Comprehensive orientation
- Tuition reimbursement up to $5,250 a year
Ministry/Facility Information:
Mount Carmel Home Care is a member of Trinity Health At Home, a national home care, palliative care and hospice organization serving communities in twelve states. We are central Ohio's comprehensive, trusted provider of home care in the sacred place that people call home. A Catholic-based, non-profit organization, we serve patients and their loved ones with home care (skilled nursing, physical/occupational and speech therapy and medical social work) and other home health services. Our legacy continues with a pioneering, future-thinking care model. We blend clinical expertise with our exclusive Home Care Connect virtual care program to help patients achieve their health goals. We have energizing new vision and strategy. Join us and shape the future of healthcare!
Apply now!
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.
Summary:
Responsible for the pulmonary care of critical, non-critical, and chronically ill adult, pediatric, and neonatal patients under the direction of a physician with minimal supervision. Performs patient assessments and institutes respiratory care plans. Performs various technical and diagnostic respiratory therapy procedures in all areas of the hospital.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Include, but are not limited to:
- Emergency (Code Blue and White) response;
- Airway management including nasotracheal & endotracheal suctioning;
- Delivery of aerosolized drugs;
- Ventilator management (i.e. setup and operation);
- Oral hygiene;
- Airway retaining device placement and maintenance;
- Airway support device management including BiPAP and CPAP devices;
- Oxygen delivery devices and therapeutic monitoring;
- Chest film analysis;
- Bloodgas collection and analysis;
- EKG analysis;
- Accurate and complete documentation;
- Cleaning and stocking of equipment and supplies as necessary;
- Participate in CAP and JC surveys.
- RRTs may function as Shift Leader or serve in the capacity of Team Leader
- Advanced practice skills may include:
- Therapeutic gas management and monitoring, including INO and HeO2;
- Pulmonary Function Testing;
- Bronchoscopy assist;
- Hemodynamic Monitoring;
- Waveform analysis;
- Nocturnal SpO2 evaluation (Desaturation Studies);
- Polysomnography;
- Transport duties.
Job Requirements:
Education/Skills
- See licensure and/or certification requirements
Experience
- 1 - 3 years of experience preferred
Licenses, Registrations, or Certifications
- RT or RCP License in state of employment required
- BLS required
- Registered Respiratory Therapist (RRT) by NBRC required
In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.
Work Schedule:
7AM - 7PM
Work Type:
Full Time
Summary:
This position is responsible for the operation of physician practices usually consisting of more than 4 providers, more than 10 FTEs or more than two sites. The position is responsible for, but not limited to, managing subordinate personnel, preparing clinic(s) budget, ensuring data accuracy, preparing financial analyses, handling complex customer service issues and maintaining provider/staff communications.
Responsibilities:
- Directs, plans and coordinates the daily operation of the assigned practices
- Practices are of moderate to high complexity and / or generally of moderate size
- Manages, supervises and coordinates all functions and activities related to the operations of physician practices, complex management responsibility (i.e.. billing and collecting), and/or special projects, (i.e.. practice start up), as directed by Administration
- Establishes/implements goals, objectives, policies, procedures and systems for the assigned administrative areas and or practices
- Assists with developing and implementing annual operational plan and budget
- Selects, trains, orients and supervises clinic personnel in accordance with established policies and procedures
- Responsible for work assignments and daily operations
- Manages personnel for multiple practices, including training relief employees
- Evaluates performances and recommends merit increases, promotions and disciplinary actions in a timely manner
- Interviews and recommends hiring and termination of staff in accordance with approved policies
- Resolves problems in administrative areas and ensures compliance with regulations and standards
Requirements:
- Bachelor's Degree or equivalent years of experience required
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Summary:
The Occupational Therapist has the responsibility and accountability for assessing, planning, evaluating, and implementing care for the patients ordered occupational therapy. The Occupational Therapist is responsible for adhering to all standards of the Occupational Therapy Practice Act as they apply to providing technical therapy care, supplies, equipment, and interventions to a designated patient population.
Responsibilities:
- Responsible for the utilization and supervision of volunteers, students, support staff, and assistants relating to the provision of occupational therapy services
- Responsible for interpretation/implementation of physician orders, provision of safe care to customers, protection of confidential information, professional communication, economic use of time/resources, and creation of a positive work/therapy environment
- Performs other diverse duties as requested
Requirements:
- Master's Degree
- OT License in the state of employment
- BLS
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Summary:
The CRNA has the responsibility and accountability for providing advanced nurse practice while administering anesthesia to patients. This Job is responsible for preparing and administering anesthesia agents to surgical and obstetrical patients under a delegating physician. Responsibility and accountability of anesthesia services lies with the Medical Director.
The CRNA will perform the following duties:
- Assess patients peri-operatively, perform patient history and physical, review patient records to determine health status, review results of diagnostic tests, treatments, and orders as appropriate
- Make post-op rounds
- Provide patient and family education
- Perform routine procedures including: draw venous/arterial blood, administer general, regional, and local anesthesia, administer injections, place NG tubes, administer local infiltrative anesthesia, placement of central venous lines and Swan Ganz lines
- Provide regional anesthesia under a delegating physician to include: topical, infiltration, spinal, epidural, intravenous, upper, and lower body blocks, and other peripheral blocks
- Initiate orders and transcribe orders of collaborating physician
- Intravenous catheter placement and administration of fluids, blood and/or blood products, muscle relaxants, vasoactive and cardiac drugs
- Other responsibilities include mechanical ventilation, resuscitation techniques, cardiopulmonary bypass technique, auto transfusion, hypotensive and hypertensive care, and hypothermia
This job requires the full understanding and active participation in fulfilling the Mission of CHRISTUS Health. It is expected that the associate demonstrate behavior consistent with the Core Values. The Associate shall support the CHRISTUS Health strategic plan and the Performance Improvement Plan's (PIP) goals and direction.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Assesses the physical, psycho-social, spiritual, cultural, functional, and high risk needs of the patient.
- Performs patient history and physical reviews patient record to determine health status.
- Reviews results of diagnostic tests, treatments, and orders.
- Collaborates plan of care with the patient care team.
- Monitors patient Peri-Operatively.
- Rounds on patients as requested draw venous/arterial blood.
- Placement of central venous lines.
- Placement of Swan Ganz.
- Performs venipuncture and manages fluids.
- Inserts nasogastric and orogastric tubes.
- Ability to manage and initiate mechanical ventilator.
- Ability to manage and initiate auto transfusion techniques.
- Provides anesthesia including general, regional, local, and moderate sedation.
- Consistently monitors patients according to standards.
- Peri-Operatively provides regional anesthesia.
- Provides spinal, epidural, and IV regional blocks.
- Obtains knowledge of and demonstrates compliance with infection control and safety.
- Practices standard precautions practice appropriate disease specific isolation.
- Appropriately handles and disposes of unused medications.
- Keeps work area clean and cares for equipment at completion of case.
- Takes measures to ensure a safe patient environment.
- Obtains training prior to initial use of equipment.
- Assures equipment is working properly.
- Participates in time-out procedure.
- Demonstrates the ability to administer medication safely and competently.
- Understands actions, side effects, contra-indications of drugs.
- Adheres to medication policies, practices, and standards.
- Safely administers fluids, blood and blood products, muscle relaxants, vasoactive drugs, cardiac drugs.
- Assures the rights of the patient/family are respected and maintained.
- Allows for privacy.
Job Requirements:
Education/Skills
- Master of Science in Nursing required
Experience
- 2 - 3 years of experience preferred
Licenses, Registrations, or Certifications
- APRN License in state of employment required
- CRNA certification from NBCRNA required
- ACLS required
- PALS required
- BLS required
Work Schedule:
TBD
Work Type:
Full Time
Summary:
A professional who assesses, plans, implements, coordinates, monitors, and evaluates patient care activities. He/she has clinical and/or functional knowledge of the position for which they are accountable either directly or indirectly through delegation of tasks. Incumbent is accountable to the Administrative Team. Collaborates with other Clinical Associates to meet individual needs using communication and available resources to promote quality, cost effective care.
Responsibilities:
- Documents initial evaluations, progress notes, treatments administered, and discharge summaries according to established departmental policies, procedures, and goals in all practice settings as appropriate.
- Responsible for patient evaluation delivering treatment to referred patients by clinical protocols resulting in patient satisfaction. Notifies physician of evaluation and patient progress as appropriate. Identifies barriers to patient and physician satisfaction and assists with improving entire process.
- Responsible for coordinating and implementing optimal patient care within assigned caseload in an efficient, cost-effective manner. Associate delegates treatments and tasks appropriately and makes suggestions for improvement in skill mix and patient care delivery including demonstrating cross training and flexibility with scheduling
- Responsible for charge entry including accurate documentation of treatment and equipment given utilizing appropriate unit/minute guidelines. Enters charges timely on PTR or in computer and turns charges in on a daily basis.
- Responsible for communicating effectively with all members of the health care team including patient, family, and physicians and identifies barriers to effective communication and teamwork.
- Develops, educates, and instructs patient on safe and appropriate exercises during treatment sessions. Provides written home exercise program instruction and ensures patient understanding.
- Responsible for promoting educational growth by attending appropriate educational in-services and meetings. Contributes to the education of co-workers, students, and/or community by developing or presenting educational materials.
- Responsible for preparing patient and family for discharge. Makes appropriate plans and
- Recommendations involving continuum of care. Ensures resources are in place prior to patient discharge. Attends patient case conferences and/or completes appropriate paperwork in a timely manner.
- Associate performs clinical skills accurately and professionally in assigned area. Associate is recognized for a specialized level of therapy services and assists with program development and marketing to physicians.
- Associate cleans completely after each patient or delegates task and ensures completion. Associate identifies environment of care concerns and seeks resolution. Associate assists with overall cleanliness of department.
- Maintain licensure and/or certification(s) required for the position, without lapse.
- Drives personal and/or CHRISTUS vehicles according to policies and procedures while on approved/official business.
- Attends meetings as required.
Requirements:
- Master's Degree required
- Current Louisiana OT License required
- BLS provider certification required
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
